Abstract

Background: Selective cannulation of the bile duct while avoiding the potentialmechanisms that initiate the cascade of pancreatic injury may preventor minimize post-ERCP pancreatitis. This could be accomplished bysupra-papillary needle puncture of the bile duct using a speciallydesigned needle. Objectives: The aim of this study is describe a new technique to perform selectivebiliary cannulation using a novel needle puncture device and itsoutcome in 28 patients with biliary pathology. Design: This is a single center, prospective pilot study of suprapapillarypuncture of bile duct for both diagnosis and therapy of biliarypathology.

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