Endoscopy 1999; 31(7): 554-556
DOI: 10.1055/s-1999-59
Short Communication
Georg Thieme Verlag Stuttgart ·New York

An Alternative Approach to the Inaccessible Intradiverticular Papilla

E. Tóth, E. Lindström, F.-T. Fork
  • Endoscopy Unit, Dept. of Diagnostic Radiology, Malmö University Hospital, Lund University, Malmö, Sweden
Further Information

Publication History

Publication Date:
31 December 1999 (online)

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Background: In patients with a narrow-necked juxtapapillary diverticulum the endoscopic cannulation of the papilla of Vater and the subsequent biliary therapy is sometimes impossible.

Patients and Methods: Three patients referred for endoscopic retrograde cholangiography and stone extraction were included. Earlier attempts to cannulate failed because visual control was impeded by narrow-necked juxtapapillary diverticula with the papilla located in the fundus. Endoscopic balloon dilation of the narrow diverticular neck, using a 15-mm stone retrieval balloon, was carried out.

Results: In all three cases the papillary orifice was readily brought into view after balloon dilation of the diverticular opening. Subsequent endoscopic treatment to the bile duct was successful without any complications.

Conclusion: Balloon dilation of a narrow-necked juxtapapillary diverticulum is a safe and easy procedure, which facilitates both cannulation of the papilla and subsequent biliary endoscopic treatment.

References

E. TóthM.D. 

Endoscopy Unit

Dept. of Diagnostic Radiology

Malmö University Hospital

205 02 Malmö

Sweden

Phone: + 46-40-969977

Email: ervin.toth@rontgen.mas.lu.se