Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Usefulness of the double-guidewire technique for endoscopic procedures in the field of biliary and pancreatic diseases

  • Mamoru Takenaka (Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine) ;
  • Masatoshi Kudo (Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine)
  • Received : 2021.12.21
  • Accepted : 2022.02.16
  • Published : 2022.09.30
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Abstract

The double-guidewire method has been increasingly used in endoscopic procedures for biliary and pancreatic diseases in recent years, including endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography-related procedures. In addition, double-lumen catheters with uneven distal and proximal lumen openings have been introduced, making it possible to easily create a double-guidewire situation, and the usefulness of the double-guidewire technique using uneven double-lumen cannulas has been widely reported. Although the advantages of using two guidewires depend on the particular situation and the appropriate use of the two guidewires, deepening the knowledge of the double-guidewire method will contribute greatly to troubleshooting in daily practice. In this review, the usefulness of the double-guidewire technique is discussed with respect to two main areas: selective insertion of guidewires and devices and biliary cannulation.

Keywords

References

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