Post written by Rintaro Fukuda, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo. Retained guidewire is not a rare adverse event …
Tag: guidewire
A new pancreatic guidewire–assisted biliary cannulation technique using double soft-tipped guidewire: wire bridge cannulation
Post written by Wataru Yoshioka, MD, from Kameda Medical Center, Kamogawa, Japan. A new double soft-tipped guidewire (GW) that has 2 angulated tips with hydrophilic coating on both ends (RevoWave DualMaster, 0.025 inches, 450 cm long; Piolax Medical Devices, Inc, Yokohama, Japan) has been recently developed. This GW enables simultaneous cannulation of the pancreatic and bile …
Combination of a 19-gauge needle and 0.018-inch guidewire with a Y-connector during EUS-guided hepaticogastrostomy
Post written by So Nakaji, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) can be performed by either first injecting the contrast medium or inserting the guidewire. Each method has advantages and disadvantages. It is desirable to inject the contrast medium with a guidewire loaded in a needle such …
Over-the-wire snare-assisted stent exchange in endoscopic retrograde cholangiopancreatography
Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. Endoscopic retrograde cholangiopancreatography allows ductal stenting to alleviate symptomatic biliary or pancreatic duct strictures, and this is achieved through prosthesis placement over a guidewire. There may be a need for stent exchange during future procedures and, in …
Use of a double-lumen cytology brush catheter to allow double-guidewire technique for endoscopic interventions
Post written by Kavel H. Visrodia, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this video case series, we describe 3 distinct cases in which the use of a double-lumen cytology brush catheter to place 2 guidewires facilitated successful endoscopic interventions. The first is a case of an endoscopic retrograde cholangiopancreatography …
Novel combination of a 0.018-inch guidewire, dedicated thin dilator, and 22-gauge needle for EUS-guided hepaticogastrostomy
Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. We presented a case of a patient with a surgically altered gastrointestinal anatomy who underwent EUS-guided hepaticogastrostomy (EUS-HGS) using a combination of a newly developed 0.018-inch guidewire, a dedicated thin dilator, and a 22-gauge needle. We often encounter …
Post-ERCP pancreatitis
Yousuke Nakai, MD, PhD from the Department of Gastroenterology, Graduate School of Medicine at The University of Tokyo in Tokyo, Japan discusses his Original Article, "Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP." This study was an analysis of risk factors for post-ERCP pancreatitis (PEP) in wire-guided cannulation (WGC) for therapeutic …
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