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KMID : 0614620230820040190
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Korean Journal of Gastroenterology
2023 Volume.82 No. 4 p.190 ~ p.193
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A Road Less Traveled: Endoscopic Retrograde Cholangiopancreatography in a Patient with Long-standing Achalasia and Sigmoid Esophagus
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Nadia O. Trabelsi
Katherine Marchut
Sally Romina Urena Campos
Davide Maggio
George Rakovich
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Abstract
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Endoscopic retrograde cholangiopancreatography in a patient with achalasia and sigmoid esophagus poses a unique technical challenge, as one must safely guide the side viewing duodenoscope across a severely distorted distal esophagus and non-relaxing lower esophageal sphincter. In such patients, the use of an overtube is a simple solution that allows the safe passage of a duodenoscope and the removal of common bile duct stones.
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KEYWORD
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Chlangiopancreatography, endoscopic retrograde, Esophageal achalasia
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