A novel reshapable catheter facilitates selective biliary and pancreatic duct cannulation following endoscopic submucosal dissection including papilla

Fig. 3 After endoscopic submucosal dissection including the papilla.a The orifices of the bile and pancreatic ducts were identified beyond the clips (arrowhead).b The maneuverability of the duodenoscope was restricted. Fig. 4 Selective biliary and pancreatic duct cannulation.a The axis of the pancreatic duct ran downward.The catheter was used in a straight shape.b Pancreatic duct cannulation was successfully performed.c The bile duct axis appeared to run upward.The catheter was manually reshaped to adjust to the direction of the bile duct.d Cholangiography confirmed successful bile duct cannulation.E482