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Difficult biliary cannulation achieved in the setting of periampullary diverticulum with the simultaneous use of biopsy forceps and wire-guided cannulation

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re 1. A, Duodenal diverticulum with papilla not visible. B, Duodenal diverticulum with type 1 (periampullary) papilla. C, Endoscopic image showing y cannulation during simultaneous grasping of the lip of… Click to show full abstract

re 1. A, Duodenal diverticulum with papilla not visible. B, Duodenal diverticulum with type 1 (periampullary) papilla. C, Endoscopic image showing y cannulation during simultaneous grasping of the lip of the diverticulum with biopsy forceps. D, Fluoroscopy image showing biliary cannulation g simultaneous grasping of the lip of the diverticulum with biopsy forceps. E, Fluoroscopy image showing balloon sweep with clearance of duct. cclusion cholangiogram showing no sludge or filling defects.

Keywords: biopsy forceps; cannulation; diverticulum; image showing; biliary cannulation

Journal Title: VideoGIE
Year Published: 2017

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