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A Simple Scope-Advancement Technique to Correct Pancreatic-Biliary Duct Axis Misalignment During Pancreatic
Yuichi Takano1, Naoki Tamai1, Jun Noda1
1Division of Gastroenterology, Department of Internal Medicine Showa Medical University Fujigaoka Hospital Yokohama Kanagawa Japan.
Clinical Case Reports
|July 15, 2026
Abstract:
Recognition of pancreatic-biliary duct axis misalignment is important when pancreatic guidewire-assisted biliary cannulation is unsuccessful. A simple scope-advancement maneuver under fluoroscopic guidance can redirect the catheter toward the bile duct axis and facilitate biliary access without additional devices, potentially avoiding the need for more advanced rescue techniques.