ArticleACG case reports journal2025
Forceps-Assisted Endoscope Rigidity Reinforcement for Difficult Duodenal Intubation due to Cascade Stomach.
Article in ACG case reports journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 92-year-old woman underwent endoscopic retrograde cholangiopancreatography (ERCP) for acute cholecystitis and bile duct stones. A cascade stomach caused significant difficulty in duodenal intubation, despite multiple standard maneuvers. As a large-diameter overtube was unavailable, forceps were inserted through the accessory channel to increase endoscope rigidity. This technique minimized scope looping and enabled duodenal access within 2 minutes. Biliary cannulation, sphincterotomy, and drainage were completed successfully. The same method was used in a subsequent ERCP with similar success. This case demonstrates that forceps-assisted rigidity reinforcement is a simple, effective, and equipment-free option for managing duodenal intubation difficulties during ERCP.
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