Clinical and Experimental Hepatology

Abstract

1/2018 vol. 4
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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