Abstract
Selective cannulation to the left bile duct is essential for endoscopic management of biliary strictures caused by hilar cholangiocarcinoma, intrahepatic ductal calci, or primary sclerosing cholangitis.
However, selective placement of a guidewire or a catheter into the left bile duct is difficult. The cannula or guidewire tends to enter the right bile duct more easily than the left bile duct, probably because of the natural curve of the biliary system or the orientation of the accessories toward the right. So, several methods for insertion to the left bile duct have been described.
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© 2019 Springer Japan KK, part of Springer Nature
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Ogawa, M., Kawaguchi, Y., Mine, T. (2019). Intrahepatic Selective Cannulation to the Left Bile Duct. In: Mine, T., Fujita, R. (eds) Advanced Therapeutic Endoscopy for Pancreatico-Biliary Diseases. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56009-8_4
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DOI: https://doi.org/10.1007/978-4-431-56009-8_4
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