Tag: fistulotomy

Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy

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Post written by Allison Franz, MD, and David Liu, MD, from the Department of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, Kentucky, USA. We highlight cases in which tip palpation of the bile duct prior to needle-knife fistulotomy was effectively performed to achieve successful cannulation. To our knowledge, this case series is the first demonstration of this technique.   Our …

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Endoscopic fistulotomy in inflammatory bowel disease

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Post written by Gursimran Kochhar, MD, from the Mayo Clinic, Jacksonville, Florida. Fistulas indicate one advanced disease phenotype in patients with IBD. Currently, there is no definitive therapy for management of fistulas. Medical therapy is not adequate, and surgical therapy forms the cornerstone of management of fistulas in patients with IBD. Although surgical therapy is …

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Early precut fistulotomy for biliary access

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Luís Lopes, MD from Hospital de Santa Luzia in Viana do Castelo, Portugal discusses his Original Article "Early precut fistulotomy for biliary access: time to change the paradigm of 'the later, the better'?" from the October issue. We assessed the efficacy and safety of 2 alternative strategies in the setting of a difficult biliary cannulation: …

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