Endoscopic Ultrasound-Guided Bile Duct Access for Rendezvous ERCP Drainage in the Setting of Intradiverticular Papilla

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Abstract
Cannulation of an intradiverticular papilla during endoscopic retrograde cholangiopancreatography (ERCP) can be challenging. We present here a technique for endoscopic ultrasound-guided puncture of the common bile duct followed by rendezvous ERCP for biliary drainage through the native intradiverticular papilla.