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. 2018 Dec 26;6(16):1073–1086. doi: 10.12998/wjcc.v6.i16.1073

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©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

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Transpancreatic biliary sphincterotomy. A: Pancreatic duct is unintentionally cannulated during biliary cannulation attempts; B: Guidewire is inserted to the pancreatic duct; C: Cutting wire of the sphincterotome is oriented towards 11 o’clock to cut the septum between the pancreatic duct and bile duct; D: Bile duct is cannulated after a 5-Fr plastic stent is inserted to the pancreatic duct for post-endoscopic retrograde cholangiopancreatography pancreatitis prophylaxis.