Bouncing off the Balloon: A New Trick for Selective Cystic Duct Cannulation

AbstractManagement of acute cholecystitis in high ‐risk and non‐surgical candidates includes endoscopic (transpapillary or transmural stenting) or percutaneous drainage of the gallbladder (GB).1 ‐5 Endoscopic cannulation of the cystic duct (CD) for transpapillary GB drainage in such cases can be technically challenging and difficult given narrowing of cystic duct orifice from edema, stones and valves in the cystic duct, and angulation of the cystic duct takeoff.1 ‐5 Here we describe a novel technique, using no special equipment that can be utilized for selective CD cannulation in cases of angulated CD takeoff.
Source: Journal of Hepato-Biliary-Pancreatic Sciences - Category: Gastroenterology Authors: Tags: IMAGE OF INTEREST Source Type: research