ASGE International Sampler (On-Demand) | 2024-ACCESS FISTULOTOMY APPROACH FOR SELECTIVE BILIARY CANNULATION: PALPATION OF THE INTRADUODENAL BILIARY SEGMENT PRIOR TO NEEDLE KNIFE INSTRUMENTATION. A CASE SERIES

ACCESS FISTULOTOMY APPROACH FOR SELECTIVE BILIARY CANNULATION: PALPATION OF THE INTRADUODENAL BILIARY SEGMENT PRIOR TO NEEDLE KNIFE INSTRUMENTATION. A CASE SERIES

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Video Transcription

Video Summary

The Axis Fistulami approach involves using a needle knife to cut into the intraduonal segment of the bile duct, avoiding the papilla, with potential benefits such as decreased risk of pancreatitis. The Toman needle knife is used for palpating and visualizing the optimal position for access. A case series of four patients demonstrated successful biliary cannulation and sphincterotomy with no complications post-procedure. Prepping the bile duct may aid endoscopists in adopting this technique, emphasizing the importance of careful dissection and visualization during the procedure. Further research is needed to explore the wider implementation of Axis Fistulotomy in clinical practice.

Asset Subtitle

David Liu

Keywords

Axis Fistulotomy

bile duct

Toman needle knife

pancreatitis

endoscopy