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Bouncing off the balloon: A new trick for selective cystic duct cannulation
Rishabh Gulati1, Tarun Rustagi1
1Division of Gastroenterology and Hepatology, University of New Mexico, Albuquerque, NM, USA.
Journal of Hepato-Biliary-Pancreatic Sciences
|May 7, 2020
Summary
A new technique simplifies endoscopic gallbladder drainage by redirecting a guidewire off a stone extraction balloon. This method aids selective cystic duct cannulation, especially in challenging anatomical cases.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
- Biliary Interventions
Background:
- Endoscopic transpapillary gallbladder drainage is a crucial procedure for managing gallbladder diseases.
- Selective cannulation of the cystic duct can be technically demanding, particularly with anatomical variations like caudally branching ducts.
Purpose of the Study:
- To introduce and describe a novel, simple technique for facilitating selective cystic duct cannulation during endoscopic transpapillary gallbladder drainage.
- To address the challenges associated with cannulating the cystic duct in anatomically complex cases.
Main Methods:
- A technique involving bouncing a guidewire off a stone extraction balloon is described.
- The guidewire is redirected into the cystic duct using this novel method.
Main Results:
- The described technique offers a simple and effective approach to guidewire redirection.
- Successful cystic duct cannulation can be achieved even in cases with caudally oriented cystic duct branching.
Conclusions:
- This innovative method enhances the feasibility and success rate of endoscopic transpapillary gallbladder drainage.
- The technique provides a valuable tool for endoscopists facing challenges in cystic duct access.
