Endoscopic ultrasound-guided bile duct access for rendezvous ERCP drainage in the setting of intradiverticular papilla.

摘要

Cannulation of an intradiverticular papilla during endoscopic retrograde cholangiopancreatography (ERCP) can be challenging. We present here a technique for endoscopic ultrasound-guided puncture of the common bile duct followed by rendezvous ERCP for biliary drainage through the native intradiverticular papilla.