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A double-guidewire technique to facilitate deep cannulation and stenting in a patient with altered gastrointestinal anatomy
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Endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered gastrointestinal (GI) anatomy remains a challenging procedure. We experience particular difficulty passing a catheter and devices in patients who have biliary stricture or severe deformity, despite successful biliary guiding.
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