Are you Health Professional?
Register now, join the community for free access.
GET ALL THE BENEFITS THAT MEDTUBE PLATFORM OFFERS:
- Unlimited access to the largest e-library of professional videos, images, publications, courses
- Connect with peers 450,000+ Healthcare Professionals from 180 countries
- Upload and share your own cases, ask questions and discuss
- Create your professional profile and build personal recognition worldwide
- Stay up-to-date with innovative techniques, treatments, guidelines, discoveries in your fields of interest; be notified
- You are informed about innovative treatments, techniques and innovations in medicine
Double Balloon Dilatation During ERCP
Case description
A 75-year-old patient presents with acute cholangitis and a history of open surgery for acute cholangitis 40 years ago. CT scan reveals a 12 mm common bile duct (CBD) containing a 12 mm stone.
During ERCP, a stenotic duodenal ulcer was identified, requiring balloon dilatation up to 15 mm to allow passage of the duodenoscope through the stricture. Upon inspecting the second part of the duodenum, the papilla was not visible despite the presence of significant bile. This raised suspicion of a CBD anastomosis connected to the first part of the duodenum (D1).
Further exploration revealed a narrow entrance to the CBD just beyond the pyloric region. A guide wire was successfully advanced, followed by a 12-15 mm balloon catheter. The balloon was dilated up to 13 mm, deflated, and maneuvered into the upper part of the CBD. Subsequently, the balloon was gently inflated without applying pressure, allowing the extraction of the stone.
This user also sharing
The Nightmare of Every GI Endoscopist
boudabbous sami
views: 3418
P-EMR For A 35 mm Right Colon NG-LST
boudabbous sami
views: 1281
ERCP for Hilar Malignancy
boudabbous sami
views: 471
