在因乳头旁憩室/憩室乳头导致选择性胆管插管困难的情况下，双通道双器械法的效用。

Usefulness of the 2-Devices-in-1-Channel Method in Case of Difficult Selective Biliary Cannulation Due to Parapapillary Diverticulum/Diverticular Papilla.

作者信息

Sakai Yuji, Tsuyuguchi Toshio, Sugiyama Harutoshi, Mikata Rintaro, Ohyama Hiroshi, Yasui Shin, Nakamura Masato, Takahashi Koji, Kumagai Junichjiro, Yamato Mutsumi, Kusakabe Yuko, Shingyoji Ayako, Iino Yotaro, Kato Naoya

机构信息

Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Chiba, Japan.

出版信息

Surg Laparosc Endosc Percutan Tech. 2018 Oct;28(5):295-297. doi: 10.1097/SLE.0000000000000551.

DOI:10.1097/SLE.0000000000000551

PMID:29912781

Abstract

PURPOSE

To investigate whether the 2-devices-in-1-channel method is useful for selective biliary cannulation in patients with parapapillary diverticulum or intradiverticular papilla, where the papilla cannot be seen from the front.

MATERIALS AND METHODS

Biliary cannulation using the 2-devices-in-1-channel method was performed in 28 patients who presented difficulty due to parapapillary diverticulum or intradiverticular papilla. There were 15 men and 13 women whose mean age was 68.8 (58 to 88) years. There were 22 patients with common bile duct stones, 5 with pancreatic cancer, and 1 with gallbladder cancer.

RESULTS

Selective biliary cannulation was successful in all 28 patients. Common bile duct stones could be removed in all 22 patients after endoscopic sphincterotomy or endoscopic balloon dilation, and all 5 patients with pancreatic cancer as well as the patient with gallbladder cancer were successfully drained. There were no procedure-related complications.

CONCLUSIONS

From these results, we consider the 2-devices-in-1-channel method is useful and safe to perform selective biliary cannulation when the papilla cannot be seen from the front due to parapapillary diverticulum, or intradiverticular papilla.

摘要