Volume 2, Issue 2, Pages (February 2017)

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Volume 2, Issue 2, Pages 25-26 (February 2017) Difficult biliary cannulation achieved in the setting of periampullary diverticulum with the simultaneous use of biopsy forceps and wire-guided cannulation  Sumant Inamdar, MD, MPH, Peter H. Stein, MD, Dennis Han, MD, Arvind J. Trindade, MD, Divyesh V. Sejpal, MD  VideoGIE  Volume 2, Issue 2, Pages 25-26 (February 2017) DOI: 10.1016/j.vgie.2016.12.008 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A, Duodenal diverticulum with papilla not visible. B, Duodenal diverticulum with type 1 (periampullary) papilla. C, Endoscopic image showing biliary cannulation during simultaneous grasping of the lip of the diverticulum with biopsy forceps. D, Fluoroscopy image showing biliary cannulation during simultaneous grasping of the lip of the diverticulum with biopsy forceps. E, Fluoroscopy image showing balloon sweep with clearance of duct. F, Occlusion cholangiogram showing no sludge or filling defects. VideoGIE 2017 2, 25-26DOI: (10.1016/j.vgie.2016.12.008) Copyright © 2017 The Authors Terms and Conditions