Tag: needle-knife 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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Primary needle-knife fistulotomy versus rescue precut: a systematic review and meta-analysis of outcomes

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Post written by Jay Bapaye, MD, from the Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA. Precut sphincterotomy is a technique used when attempts at gaining biliary access with the help of standard catheters, cannulotomes, and guidewires have failed. In our study, we tried to answer the question of how does a primary …

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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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