The Balloon Occluded Method for Selective Cannulation of the Intrahepatic Duct: A Case Report.
- Author:
Yong Wuk KIM
1
;
Dae Han KANG
;
Dong Uk KIM
;
Cheol Woong CHOI
;
Pyo Jun KIM
;
Kyung Sik JUNG
;
Woo Jin JUNG
Author Information
1. Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. sulsulpul@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
ERCP;
Selective cannulation;
Balloon occluded method
- MeSH:
Biliary Tract;
Catheterization;
Catheters;
Cholangiopancreatography, Endoscopic Retrograde;
Gastrointestinal Tract;
Humans;
Liver;
Neoplasm Metastasis
- From:Korean Journal of Gastrointestinal Endoscopy
2009;38(1):57-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Selective cannulation into the intrahepatic duct during ERCP can occasionally be difficult and time-consuming depending on the GI tract anatomy and the presence of biliary tree anomalies or pathology. A variety of techniques or devices have been used to enhance the success rate of selective cannulation in these situations. The balloon occluded method for selective cannulation of the LHD (left hepatic duct) with using an inflated balloon catheter to occlude the RHD (right hepatic duct) has also been reported. We report here a case of successful selective cannulation of the RHD with using an inflated balloon catheter to occlude the LHD in a patient who had a GB cancer with liver metastasis. After this maneuver, a guidewire is advanced; it deflects off the inflated balloon and then proceeds to the RHD.
