Successful endoscopic retrograde cholangiopancreatography using pancreatic guidewire placement for biliary cannulation in a patient with situs inversus and Billroth-I gastrectomy (with video)

被引：3

作者：

Tanisaka, Yuki ^{[1
]}

Ryozawa, Shomei ^{[1
]}

Sudo, Kosuke ^{[2
]}

Fujita, Akashi ^{[1
]}

Mizuide, Masafumi ^{[1
]}

Nonaka, Kouichi ^{[1
]}

Tashima, Tomoaki ^{[1
]}

机构：

[1] Saitama Med Univ, Dept Gastroenterol, Int Med Ctr, 1397-1 Yamane, Hidaka, Saitama 3501298, Japan

[2] Southern Tohoku Gen Hosp, Dept Gastroenterol, Iwanuma, Miyagi, Japan

来源：

JGH OPEN | 2019年 / 3卷 / 06期

关键词：

situs inversus; ERCP; Billroth-I gastrectomy; pancreatic guidewire placement for biliary cannulation; SUCCESSFUL ERCP;

D O I：

10.1002/jgh3.12163

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We reported a 95-year-old man with cholangitis who underwent Billroth-I gastrectomy. He was diagnosed with situs inversus viscerum and ERCP was performed. A stable field of view could not be secured due to anatomical factors (Billroth-I gastrectomy) and strong respiratory variations. However, pancreatic duct cannulation was possible. A pancreatic guidewire was placed to achieve selective biliary cannulation. This stabilized the field of view. The catheter was inserted on the right side of the guidewire. Cannulation to the 1 o'clock direction achieved biliary cannulation. Intended procedure was completed safely in the present case.

引用

页码：540 / 541

页数：2

共 4 条

[1] Successful Stone Removal by Endoscopic Retrograde Cholangiopancreatography in Situs Inversus Totalis with Billroth-II Gastrectomy
Kim, Sung Bum
Kim, Kook Hyun
Kim, Tae Nyeun
GUT AND LIVER, 2015, 9 (01) : 118 - 119
[2] Successful biliary cannulation using a novel rotatable sphincterotome in a patient with situs inversus totalis
Yoshida, Akihiro
Minaga, Kosuke
Takeda, Osami
Hanno, Hajime
Takayanagi, Shigenori
Dozaiku, Toshio
Kudo, Masatoshi
ENDOSCOPY, 2020, 52 (09) : E333 - E334
[3] Treatment of choledocholithiasis using endoscopic retrograde cholangiopancreatography in an elderly patient with complete situs inversus viscerum
Shi, Rui
Bai, Yi
Liu, Zi-Rong
Zhang, Ya-Min
ASIAN JOURNAL OF SURGERY, 2021, 44 (08) : 1112 - 1113
[4] Successful Endoscopic Retrograde Cholangiopancreatography for Management of Choledocholithiasis in a Patient With Situs Inversus Totalis: A Case Report and Literature Review
Alrufayi, Bashayer
Almutairi, Saad
Zagnoon, Abbas
GASTRO HEP ADVANCES, 2025, 4 (02):

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