困难胆管插管新型双腔括约肌切开刀和改良的

导读

在困难胆管插管的情况下，双导丝技术（DGT）是一种有希望的挽救方法。但有时胰管导丝会妨碍插管设备，很难将插管设备与胆管方向对齐。来自日本神户大学医学研究科的HideyukiShiomi等人介绍了一种新型的双腔括约肌切开刀，进一步改良了DGT，降低了插管难度。

Modifieddouble-guidewiretechniqueusingauniquedouble-lumensphincterotomefordifficultbiliarycannulation

对于困难胆管插管，使用新型双腔括约肌切开刀进行改良的双导丝技术操作

ERCPiswidelyacceptedasthestandardtherapeuticprocedurefordifferentpancreatobiliarydisorders.Selectivebiliarycannulationremainsdifficultin5%to10%ofcases,eveninthehandsofexperiencedoperators.Althoughseveraltechniqueshavebeenproposedasalternativesforpersistentconventionalbiliarycannulationindifficultcasessuchasprecutsphincterotomyandneedle-knifeprecut,thedouble-guidewiretechnique(DGT)isstillconsideredapromisingsalvageapproachinsuchcases.Nevertheless,withtheinterferenceofthepancreaticductguidewire(P-GW)againstcannulationdevices,thistechniquesometimesbe