Tando
Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Lecture for Board Certified Fellow
The tips of transpapillary biliary stenting
Takao Itoi, Takayoshi Tsuchiya, Toshio Kurihara, Kentaro Ishii, Shujiro Tsuji
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2013 Volume 27 Issue 1 Pages 39-46

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Abstract
We described the tips of bile duct stenting and gallbladder stenting. For the master of biliary endoscopists, we should know the characteristics of many kinds of metal stents in patients with distal bile duct obstructions. In particular, whether the stent belongs to the braided type and laser cut type metal stent affects the stenting. We should know the key factors of metal stent as follows: shortening rate, axial force and radial force. Based on the detail of stent characteristics, we should place the stent across the strictures. In terms of gallbladder stenting, it is very important for successful procedure to find the bifurcation of cystic duct. After finding it, the guidewire is advanced into the gallbladder using several techniques, e.g. twist, rotation, and back and forth of guidewire.
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© 2013 Japan Biliary Association
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