Orlando Health Digestive Health Institute, 1335 Sligh Boulevard, 3rd Floor, Orlando, FL 33806, USA; Center for Advanced Endoscopy, Research and Education (CARE); University of Central Florida College of Medicine.
Gastrointest Endosc Clin N Am. 2022 Jul;32(3):385-395. doi: 10.1016/j.giec.2022.01.002. Epub 2022 May 5.
Successful biliary cannulation of a native papilla is usually the rate-limiting step toward a successful ERCP. Standard cannulation techniques usually succeed, particularly when utilizing the wire-guided technique. There are, however, a myriad of confirmations of the major papilla as well as anatomic variants and certain pathologies which can make cannulation exceedingly difficult. For these cases, advanced cannulation techniques and techniques termed "access sphincterotomy" have been developed which should allow successful cannulation in >90% of cases. This article should help all those performing ERCP to improve their cannulation rate.
成功地对原发性乳头进行胆管插管通常是 ERCP 成功的限速步骤。标准的插管技术通常是成功的，尤其是在使用导丝技术时。然而，有许多方法可以确认主要乳头以及解剖变异和某些病理情况，这些情况可能使插管变得极其困难。对于这些情况，已经开发了先进的插管技术和称为“括约肌切开术”的技术，这些技术应该可以使>90%的病例成功插管。本文应有助于所有进行 ERCP 的人提高其插管成功率。
