Common bile duct cannulation in the left lateral position during ERCP
نویسنده
چکیده
It is well known that ERCP is usually performed with the patient in a prone or supine position. In this manner, a better view of the biliary and pancreatic radiological anatomy is displayed during fluoroscopy. The common bile duct (CBD) is on the left whereas the main pancreatic duct (MPD) is on the right part of the screen [Figure 1]. However, when the patient is in the left lateral decubitus both ducts can overlap or even be in a reverse position (MPD left, CBD right), which can be confusing for biliary guide wire (GW) cannulation. The left lateral position is sometimes chosen in patients with respiratory problems or to allow an easier progress of the duodenoscope to the duodenum.
منابع مشابه
Evaluation of guide wire cannulation in reduced risk of post - ERCP pancreatitis and facilitated bile duct cannulation
Background: Pancreatitis is most common complication of post-ERCP and needs to admission at least for one day. The purpose of this study was to assess the efficacy of guide wire for better common bile duct (CBD) cannulation for reducing post-ERCP pancreatitis. Methods: From April 2010 through March 2011, the patients who needed ERCP and referred to Shahid Beheshti and Rouhani Teaching Hospita...
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