eISSN: 2449-8238
ISSN: 2392-1099
Clinical and Experimental Hepatology
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1/2018
vol. 4
 
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abstract:
Short report

Cannulation in patients with large periampullary diverticulum using SpyBite miniforceps

Mahadevan Balkrishanan
,
Mayank Jain
,
Chenduran SNK
,
Sridhar CG
,
Ravi Ramakrishnan
,
Jayanthi Venkataraman

Clin Exp HEPATOL 2018; 4, 1: 41-42
DOI: https://doi.org/10.5114/ceh.2018.73370
Online publish date: 2018/01/20
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Introduction
Cannulation is difficult in patients with periampullary diverticulum (PAD). The described success rate varies from 61% to 95.4%.

Material and methods
Four cases with PAD in which, despite repeated attempts, we were unable to locate the papilla and cannulate. To overcome this difficulty, we used SpyBite forceps (Boston Scientific) to pull out the papillary orifice and then perform the cannulation using a sphincterotome introduced through the same working channel.

Results
This method reduced the time required for cannulation. In all four of our cases, we had 100% success in cannulation.

Conclusions
Use of SpyBite miniforceps in difficult cannulations in patients with PAD is useful and has an excellent success rate.

keywords:

diverticulum, forceps, cannulation
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