Mandai Koichiro, Uno Koji, Yasuda Kenjiro
Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto, Japan.
J Hepatobiliary Pancreat Sci. 2021 Dec;28(12):e52-e53. doi: 10.1002/jhbp.925. Epub 2021 Mar 19.
Highlight Mandai and colleagues describe EUS-guided antegrade pancreatic guidewire placement followed by the double-guidewire technique in balloon enteroscope-assisted endoscopic retrograde cholangiopancreatography in a patient with recurrent gastric cancer. This case suggests that EUS-guided antegrade pancreatic guidewire placement can be useful for the subsequent double-guidewire technique when EUS-guided biliary access has failed.
曼代及其同事描述了在一名复发性胃癌患者中,在气囊小肠镜辅助内镜逆行胰胆管造影术中,先进行超声内镜引导下顺行胰管导丝置入,然后采用双导丝技术。该病例提示,当超声内镜引导下胆管穿刺失败时,超声内镜引导下顺行胰管导丝置入对后续的双导丝技术可能有用。