Suprapapillary choledochus cannulation of periampullary tumors with ERCP

Yıl 2013, Cilt: 21 Sayı: 3, 68 - 71, 01.12.2013

Hacı Mehmet Odabaşı Atakan Yeşil Cem Arslan Can Gönen Cengiz Eriş Mehmet Kamil Yıldız Hacı Hasan Abuoğlu Emre Günay Erkan Özkan Tolga Müftüoğlu

https://doi.org/10.17940/endoskopi.74796

Cited By: 1

Öz

Background and Aims: Endoscopic retrograde cholangiopancreatography is the gold standard for the diagnosis and treatment of biliary diseases. Direct access into the common bile duct is the most important step for successful therapeutic biliary endoscopy. Although transpapillary biliary cannulation is the preferred technique, it is not always possible. Therefore, suprapapillary cannulation has been developed as an alternative technique. Materials and Methods:Suprapapillary cannulation was performed in six patients determined to have periampullary tumor in the endoscopic retrograde cholangiopancreatography unit in our hospital. Results: No minor or major complications were observed during any of the operations. Conclusions:Especially when transpapillary cannulation is difficult in patients with periampullary tumor, the suprapapillary cannulation technique can be considered as an easy and safe method.

Anahtar Kelimeler

ERCP, periampullary tumors, suprapapillary cannulation

Periampuller bölge tümörlerinde ERKP ile suprapapiller koledok kanülasyonu

Öz

Giriş ve Amaç: Endoskopik retrograd kolanjiopankreotografi biliyer hastalıkların tanı ve tedavisinde altın standarttır. Başarılı bir endoskopi için ana safra kanalına girmek en önemli basamaktır. Transkapiller kanülasyon tercih edilen yöntem olmakla birlikte her zaman başarı sağlanamamaktadır. Bu nedenle alternatif olarak suprapapiller kanülasyon tekniği geliştirilmiştir. Gereç ve Yöntem:Hastanemiz endoskopik retrograd kolanjiopankreatografi ünitesinde periampüller tümörlü ve kolanjitli 6 hastaya suprapapiller kanülasyon yapıldı. Bulgular:Hastalarda minör veya majör komplikasyon görülmedi. Sonuç:Özellikle periampüller tümörlü hastalarda transpapiller kanülasyonda zorluk yaşarsanız, suprapapiller kanülasyon tekniği kolay ve güvenli bir yöntemdir.

Anahtar Kelimeler

ERKP, periampüller tümör, suprapapiller kanülasyon

Kaynakça

• Zhou PH, Yao LQ, Xu MD, et al. Application of needle knife in difficult biliary cannulation for endoscopic retrograde cholangiopancreatogra- phy. Hepatobiliary Pancreat Dis Int 2006;5:590-4.
• Tang SJ, Haber GB, Kortan P, et al. Precut papillotomy versus persis- tence in difficult biliary cannulation: a prospective randomized trial. Endoscopy 2005;37:58-65.
• Catalano MF, Linder JD, Geenen JE. Endoscopic transpancreatic papil- lary septotomy for inaccessible obstructed bile ducts: Comparison with standard pre-cut papillotomy. Gastrointest Endosc 2004;60:557-61.
• Laasch HU, Tringali A, Wilbraham L, et al. Comparison of standard and steerable catheters for bile duct cannulation in ERCP. Endoscopy 2003;35:669-74.
• Abu-Hamda EM, Baron TH, Simmons DT, Petersen BT. A retrospective comparison of outcomes using three different precut needle knife tech- niques for biliary cannulation. J Clin Gastroenterol 2005;39:717-21.
• Freeman ML, Guda NM. Prevention of post-ERCP pancreatitis: a com- prehensive review. Gastrointest Endosc 2004;59:845-64.
• Yamaguchi K, Enjoji M, Kitamura K. Nonicteric ampullary carcinoma with a favorable prognosis. Am J Gastroentrol 1990;85:994-9.
• Blumgart LH, Kennedy A. Carcinoma of the ampulla of Vater and duo- denum. Br J Surg 1973;60:33-40.
• Freeman ML, Guda NM. ERCP cannulation: a review of reported tech- niques. Gastrointest Endosc 2005;61:112-25.
• Artifon EL, Sakai P, Ishioka S, Hondo FY, Raju GS. Suprapapillary punc- ture of the common bile duct for selective biliary access: a novel tech- nique (with videos). Gastrointest Endosc 2007;65:124-31.
• Masci E, Mariani A, Curioni S, Testoni PA. Risk factors for pancreatitis following endoscopic retrograde cholangiopancreatography: a meta- analysis. Endoscopy 2003;35:830-4.
• Elta GH, Barnett JL, Wille RT, et al. Pure cut electrocautery current for sphincterotomy causes less post-procedure pancreatitis than blended current. Gastrointest Endosc 1998;47:149-53.
• Gorelick A, Cannon M, Barnett J, et al. First cut, then blend: an elec- trocautery technique affecting bleeding at sphincterotomy. Endoscopy 2001;33:976-80.
• Donnellan F, Zeb F, Courtney G, Aftab AR. Suprapapillary needleknife fistulotomy: a safe and effective method for accessing the biliary system. Surg Endosc 2010;24:1937-40.
• O’Connor HJ, Bhutta AS, Redmond PL, Carruthers DA. Suprapapil- lary fistulosphincterotomy at ERCP: a prospective study. Endoscopy 1997;29:266-70.
• Hashiba K, D’Assunção MA, Armellini S, et al. Endoscopic suprapapil- lary blunt dissection of the distal common bile duct in cases of difficult cannulation: a pilot series. Endoscopy 2004;36:317-21.