Double Guide Wire Placement for Endoscopic Pancreaticobiliary Procedures

Abstract

The large working channel of a new generation of duodenoscopes permits side-by-side double guide wire placements, which can facilitate both cannulation and drainage during pancreaticobiliary procedures [1]. The use of two guide wires in one duct can make therapeutic endoscopy easier during drainage procedures. It is employed by many endoscopists for bilateral drainage of strictures in the biliary duct [1] [2]. A similar method for stent insertion, employing a double guide wire, can also be applied during cystoenterostomies [3].