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      Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy (with video)

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          Abstract

          We reported a 95‐year‐old man with cholangitis who underwent Billroth‐I gastrectomy. He was diagnosed with situs inversus viscerum and ERCP was performed. A stable field of view could not be secured due to anatomical factors (Billroth‐I gastrectomy) and strong respiratory variations. However, pancreatic duct cannulation was possible. A pancreatic guidewire was placed to achieve selective biliary cannulation. This stabilized the field of view. The catheter was inserted on the right side of the guidewire. Cannulation to the 1 o'clock direction achieved biliary cannulation. Intended procedure was completed safely in the present case.

          Abstract

          We report successful biliary cannulation in a patient with situs inversus and Billroth‐I gastrectomy using pancreatic guidewire placement.

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          Most cited references8

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          ERCP cannulation: a review of reported techniques.

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            A new method of achieving deep cannulation of the common bile duct during endoscopic retrograde cholangiopancreatography.

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              Clinical usefulness of double-guidewire technique for difficult biliary cannulation in endoscopic retrograde cholangiopancreatography.

              Although biliary cannulation with pancreatic guidewire placement (P-GW) is useful for difficult cases in endoscopic retrograde cholangiopancreatography (ERCP), the clinical significance of wire-guided cannulation with P-GW (double-guidewire technique: DGT) has not been clarified. The aim of the present study was to evaluate the usefulness of DGT for difficult biliary cannulation after unsuccessful biliary cannulation using a cannula/sphincterotome under guidance of injected contrast with P-GW (single-guidewire technique: SGT).
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                Author and article information

                Contributors
                ryozawa@saitama-med.ac.jp
                Journal
                JGH Open
                JGH Open
                10.1002/(ISSN)2397-9070
                JGH3
                JGH Open: An Open Access Journal of Gastroenterology and Hepatology
                Wiley Publishing Asia Pty Ltd (Melbourne )
                2397-9070
                20 February 2019
                December 2019
                : 3
                : 6 ( doiID: 10.1002/jgh3.v3.6 )
                : 540-541
                Affiliations
                [ 1 ] Department of Gastroenterology Saitama Medical University International Medical Center Hidaka Saitama Japan
                [ 2 ] Department of Gastroenterology Southern Tohoku General Hospital Iwanuma, Miyagi Japan
                Author notes
                [*] [* ] Correspondence

                Shomei Ryozawa, Department of Gastroenterology, Saitama Medical University International Medical Center, 1397‐1, Yamane, Hidaka, Saitama 350‐1298, Japan. Email: ryozawa@ 123456saitama-med.ac.jp

                Author information
                https://orcid.org/0000-0002-2765-3306
                https://orcid.org/0000-0003-4515-5543
                Article
                JGH312163
                10.1002/jgh3.12163
                6891017
                31832558
                5cbf287b-e455-4051-af8d-560b2f505a61
                © 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 07 October 2018
                : 03 January 2019
                : 09 January 2019
                Page count
                Figures: 1, Tables: 0, Pages: 3, Words: 1410
                Categories
                Case Report
                Case Reports
                Custom metadata
                2.0
                December 2019
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.2 mode:remove_FC converted:04.12.2019

                situs inversus,ercp,billroth‐i gastrectomy,pancreatic guidewire placement for biliary cannulation

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