Cholangioscopy miniforceps-assisted cannulation: another tool in the toolbox for difficult cannulation.

ABSTRACT:

Background and aims

Biliary cannulation during ERCP can be difficult for many reasons. Cannulation techniques include double-guidewire, needle-knife sphincterotomy, EUS-guided rendezvous, and traction assistance. We describe a case where the use of a cholangioscopy miniforceps tool allowed for traction-assisted cannulation of a floppy major papilla.

Methods

Traction assistance using a cholangioscopy miniforceps along with double-guidewire technique was used.

Results

Successful biliary cannulation was achieved in a patient with biliary obstruction due to a hilar mass. This allowed for cholangioscopic examination with biopsies (using miniforceps) as well as brushings for histologic diagnosis. Three plastic stents were placed for decompression.

Conclusions

Tractio

SUBMITTER: Noverati N 

PROVIDER: S-EPMC12546664 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature