Access fistulotomy: technical tips for success.

ABSTRACT:

Background and aims

Biliary cannulation, although critical to procedural success in ERCP, can be difficult and, if unsuccessful, can lead to longer hospital stays, repeat procedures, and increased costs. Expertise in adjunct techniques, including access fistulotomy, can increase success rates and potentially avoid these issues. The aim of this case series is to describe the technique of access fistulotomy and illustrate key points that are important for successful biliary access.

Methods

Three cases are reviewed in which access fistulotomy was used to achieve biliary access. The steps for the procedure are reviewed, and key technical tips and anatomic landmarks are illustrated in the video.

Results

Successful biliary access is obtained using fistulotomy in 3 cases. In

SUBMITTER: Magulick JP 

PROVIDER: S-EPMC7806498 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature