ERCP, Selective cannulation, Balloon occluded method"/>
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Clin Endosc : Clinical Endoscopy



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HOME > Clin Endosc > Volume 38(1); 2009 > Article
The Balloon Occluded Method for Selective Cannulation of the Intrahepatic Duct: A Case Report
[Epub ahead of print]
Published online: January 30, 2009
Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
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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. (Korean J Gastrointest Endosc 2009;38:57-60)

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