Abstract
Background and Aims: Endoscopic retrograde pancreatography (ERP) is an important tool in the management of a variety of pancreatic diseases. However, localization of the pancreatic duct (PD) orifice may be difficult in patients with restenosis of previously performed endoscopic pancreatobiliary sphincterotomy or surgical sphincteroplasty. Identification of the minor papilla orifice in patients with pancreas divisum can also be unsuccessful despite the use of intravenous secretin and methylene blue (MB) spray.
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