Endoscopy 2002; 34(9): 752
DOI: 10.1055/s-2002-33455
Images in Focus
© Georg Thieme Verlag Stuttgart · New York

Cut Guide Wire During Endoscopic Sphincterotomy

E.  Parlak1 , S.  O.  Kuran1 , E.  Altiparmak1 , B.  Sahin1
  • 1Department of Gastroenterology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey
Further Information

E. Parlak, M.D.

Dept. of Gastroenterology · Türkiye Yüksek İhtisas Hospital

06100 Sihhiye · Ankara · Turkey

Fax: + 90-312-312-4122

Email: Eparlak@ato.org.tr

Publication History

Publication Date:
26 August 2002 (online)

Table of Contents

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    Figure 1 A 67-year-old man with cancer of the pancreatic head was admitted to our endoscopic retrograde cholangiopancreatography (ERCP) unit for biliary decompression. The biliary system was canalized using a guide wire (0.021-inch Black Wire, Bard Angiomed, Germany), and endoscopic sphincterotomy was then performed over the same guide wire. At the end of the sphincterotomy, it was noted that the guide wire had been cut in the common bile duct

    Zoom Image

    Figure 2 The tip of guide wire, which was in the common bile duct, was brought out through the papilla with the help of a stone extraction balloon catheter

    Zoom Image

    Figure 3 The tip of the guide wire in the duodenum was grasped with a snare loop and removed

    Zoom Image

    Figure 4 The tip of the guide wire in the duodenum was grasped with a snare loop and removed

    E. Parlak, M.D.

    Dept. of Gastroenterology · Türkiye Yüksek İhtisas Hospital

    06100 Sihhiye · Ankara · Turkey

    Fax: + 90-312-312-4122

    Email: Eparlak@ato.org.tr

    E. Parlak, M.D.

    Dept. of Gastroenterology · Türkiye Yüksek İhtisas Hospital

    06100 Sihhiye · Ankara · Turkey

    Fax: + 90-312-312-4122

    Email: Eparlak@ato.org.tr

    Zoom Image

    Figure 1 A 67-year-old man with cancer of the pancreatic head was admitted to our endoscopic retrograde cholangiopancreatography (ERCP) unit for biliary decompression. The biliary system was canalized using a guide wire (0.021-inch Black Wire, Bard Angiomed, Germany), and endoscopic sphincterotomy was then performed over the same guide wire. At the end of the sphincterotomy, it was noted that the guide wire had been cut in the common bile duct

    Zoom Image

    Figure 2 The tip of guide wire, which was in the common bile duct, was brought out through the papilla with the help of a stone extraction balloon catheter

    Zoom Image

    Figure 3 The tip of the guide wire in the duodenum was grasped with a snare loop and removed

    Zoom Image

    Figure 4 The tip of the guide wire in the duodenum was grasped with a snare loop and removed