ArticleVideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy2025
Cholangioscopy miniforceps-assisted cannulation: another tool in the toolbox for difficult cannulation.
Article in VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Biliary cannulation during ERCP can be difficult for many reasons. Cannulation techniques include double-guidewire, needle-knife sphincterotomy, EUS-guided rendezvous, and traction assistance. We describe a case where the use of a cholangioscopy miniforceps tool allowed for traction-assisted cannulation of a floppy major papilla. Methods: Traction assistance using a cholangioscopy miniforceps along with double-guidewire technique was used. Results: Successful biliary cannulation was achieved in a patient with biliary obstruction due to a hilar mass. This allowed for cholangioscopic examination with biopsies (using miniforceps) as well as brushings for histologic diagnosis. Three plastic stents were placed for decompression. Conclusions: Traction-assisted technique using miniforceps should be considered in difficult ERCP cannulation, especially if redundant periampullary mucosa is encountered.
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