Side-viewing duodenoscope retroflexion method for bile duct cannulation and sphincterotomy in patient with Billroth II anatomy

Abstract

An 80-year-old male with obstructive jaundice and prior conventional Billroth II gastrectomy was referred for ERCP. The procedure was performed with side-viewing duodenoscope (Olympus TjF-145) and standard sphincterotome. The afferent limb was intubated and papilla approached from below which located both the direction of cannulation and duodenal stump to appear toward 6 o'clock position.

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