Abstract:

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.

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