Sphincterotomy |
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upper left: duodenal papilla status post endoscopic sphincterotomy lower left: status post extraction of common bile duct stone seen at right upper right: status post extraction of common bile duct stone seen at right lower left: sphincterotome in position to cut the papilla ( note the wire above the cannula - there is still a large segment of intraduodenal bile duct directly above the wire that can be cut to allow passage of the stone seen in the above pictures) |
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