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Volume 1, Issue 1, Pages (September 2016)

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1 Volume 1, Issue 1, Pages 22-24 (September 2016)
Think opposite: biliary guidewire-assisted pancreatic cannulation in chronic pancreatitis for transpapillary pseudocyst drainage  Gianfranco Donatelli, MD, Jean-Loup Dumont, MD, Stavros Dritsas, MD, Fabrizio Cereatti, MD, Bruno Meduri, MD  VideoGIE  Volume 1, Issue 1, Pages (September 2016) DOI: /j.vgie Copyright © 2016 The Authors Terms and Conditions

2 Figure 1 A and B, CT scan showing chronic pancreatitis with dilation of the Wirsung duct (W) complicated by a 4-cm fluid pseudocyst (PK) communicating with the main pancreatic duct (arrow). VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

3 Figure 2 Radial EUS showing a 4-cm fluid pseudocyst communicating with the Wirsung duct (arrow). VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

4 Figure 3 Pancreatic cannulation adopting a reversed double-guidewire technique. VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

5 Figure 4 Fluoroscopic image showing pancreatic cannulation after guidewire placement in the common bile duct. VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

6 Figure 5 Dilated Wirsung duct communicating with the pseudocyst.
VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

7 Figure 6 Pancreatic sphincterotomy.
VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

8 Figure 7 Balloon dilation of the Wirsung duct.
VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

9 Figure 8 Deployment of a pancreatic plastic stent with the distal end inside the pseudocyst. VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions

10 Figure 9 Fluoroscopic image showing drainage of the pseudocyst inside the duodenum. VideoGIE 2016 1, 22-24DOI: ( /j.vgie ) Copyright © 2016 The Authors Terms and Conditions


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