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
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Chiba, Japan.
Surg Laparosc Endosc Percutan Tech. 2018 Oct;28(5):295-297. doi: 10.1097/SLE.0000000000000551.
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.
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.
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.
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.
探讨在十二指肠乳头旁憩室或憩室内乳头导致乳头无法从正面看到的患者中，单通道双器械法用于选择性胆管插管是否有用。
对28例因十二指肠乳头旁憩室或憩室内乳头而插管困难的患者采用单通道双器械法进行胆管插管。其中男性15例，女性13例，平均年龄68.8（58至88）岁。胆总管结石患者22例，胰腺癌患者5例，胆囊癌患者1例。
28例患者均成功进行了选择性胆管插管。22例胆总管结石患者在内镜括约肌切开术或内镜球囊扩张术后均成功取出结石，5例胰腺癌患者及1例胆囊癌患者均成功引流。无手术相关并发症。
根据这些结果，我们认为当因十二指肠乳头旁憩室或憩室内乳头导致乳头无法从正面看到时，单通道双器械法用于选择性胆管插管是有用且安全的。
