Abstract
Selective biliary cannulation in patients with Roux-en-Y gastrectomy is considered technically difficult [1] [2]. In cases where a guidewire is inserted into the pancreatic duct, transpancreatic biliary sphincterotomy is considered an effective method of achieving biliary cannulation [3]. Herein, we report a case of successful selective biliary cannulation via transpancreatic biliary sphincterotomy using a novel sphincterotome in a patient with Roux-en-Y gastrectomy.
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