Endoscopy 1985; 17(1): 26-28
DOI: 10.1055/s-2007-1018449
NEW INSTRUMENTS AND NEW METHODS

© Georg Thieme Verlag KG Stuttgart · New York

ERCP using a Special Catheter with External Steering

A Reliable Aid in Typical ERCP ProblemsM. Staritz, U. Baas, K. Ewe, K.-H. Meyer zum Büschenfelde
  • 1st Department of Internal Medicine, University of Mainz
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Summary

ERCP is the most sensitive procedure for opacification of the bile and pancreatic ducts. The procedure fails, however, in up to 60 % of Billroth II resected patients, and in 5 % of non-gastrectomized patients, often owing to problems of papillary cannulation with the conventional ERC-catheter, or insufficient control in the bile duct. Therefore, we attempted to perform ERCP with a catheter provided with external steering, which can be introduced through the channel of any commercially available endoscope. This catheter permitted successful ERCP in 11 patients in whom conventional ERCP technique had failed. The endoscopic procedure with the catheter described was simple and reduced papillary cannulation problems in patients with juxtapapillary diverticulum and in those with Billroth II resection, and it permitted selective opacification of intrahepatic bile ducts or the cystic duct.

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