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Procedures - Drainage of pancreatic fluid

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Case report
Open Access
Think opposite: biliary guidewire-assisted pancreatic cannulation in chronic pancreatitis for transpapillary pseudocyst drainage
VideoGIE
Vol. 1Issue 1p22–24Published online: September 2, 2016
- Gianfranco Donatelli
- Jean-Loup Dumont
- Stavros Dritsas
- Fabrizio Cereatti
- Bruno Meduri
Cited in Scopus: 0
- Video
Pancreatic duct cannulation in chronic pancreatitis fails in up to 10% to 30% of cases because of difficult guidewire or catheter manipulation.¹ Synthetic porcine secretin² and more challenging techniques such as EUS-guided drainage or dorsal duct cannulation have been proposed.^1-3 Pancreatic guidewire-assisted biliary cannulation, also known as the double-guidewire (DGW) technique, after failure of deep cannulation of the common bile duct (CBD) was first described in 1998 by Dumonceau et al.^3,4 The aim of the DGW technique is to obstruct the pancreatic orifice and facilitate deep biliary cannulation.