Endoscopic view of biliary sphincterotomy

This endoscopic image shows a biliary sphincterotomy (arrowhead) and the pancreatic duct orifice (arrow). The pancreatic duct orifice should be avoided when using endoscopic therapy to control bleeding.

Courtesy of the Digestive Endoscopy Unit, Catholic University in Rome, Italy.

Graphic 113782 Version 2.0

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