Anchoring Technique to Access the Papillary Area in Patients With Unreachable Second Duodenal Portion

We present an access technique to the papillary area in patients with unreachable second dudodenal portion (SDP) without stenosis or previous surgery. A 20 mm dilatation balloon is passed over a guidewire to the proximal jejunum and is inflated to hook on a jejunal loop. The duodenoscope is introduced while forcefully retracting the balloon catheter into the working channel. The balloon works as an anchor and allows to reach the SDP. We successfully tried this technique in five patients: 3 with large hiatal hernia, 1 with duodenal deformity for previous peptic ulcer and 1 with anatomical distortion for pancreatic cancer.

Citation: Arrubla A, Hervas N, Rodriguez I et al. OP91V ANCHORING TECHNIQUE TO ACCESS THE PAPILLARY AREA IN PATIENTS WITH UNREACHABLE SECOND DUODENAL PORTION. Endoscopy 2021; 53: S39.

Publication History

Article published online:
19 March 2021