A Road Less Traveled: Endoscopic Retrograde Cholangiopancreatography in a Patient with Long-standing Achalasia and Sigmoid Esophagus
Nadia O. Trabelsi, Katherine Marchut, Sally Romina Urena Campos, Davide Maggio, George Rakovich,
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( Nadia O. Trabelsi )
( Katherine Marchut )
( Sally Romina Urena Campos )
( Davide Maggio )
( George Rakovich )
Abstract
Endoscopic retrograde cholangiopancreatography in a patient with achalasia and sigmoid esophagus poses a unique technical challenge, as one must safely guide the side viewing duodenoscope across a severely distorted distal esophagus and non-relaxing lower esophageal sphincter. In such patients, the use of an overtube is a simple solution that allows the safe passage of a duodenoscope and the removal of common bile duct stones.
키워드
Chlangiopancreatography, endoscopic retrograde; Esophageal achalasia
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