J Gastroenterol Hepatol Endosc | Volume 8, Issue 1 | Surgical Technique | Open Access
Akmal M, Rahat A and Kamani L*
Department of Gastroenterology, Liaquat National Hospital, Pakistan
*Correspondance to: Lubna Kamani
Fulltext PDFBiliary cholangitis is a dreadful condition with high mortality. Endoscopic retrograde
cholangiopancreatography is a less invasive modality leading to biliary drainage. Bile is normally
sterile but in biliary cholangitis there is proliferation of bacteria. It has been reported that bile
cultures are positive in 83% of cases [1] and often polymicrobial [2]. It has been observed that bile
is leaked or it overflows through the biopsy/therapeutic channel of the scope during procedure. As
a result, dripping of these contaminated biliary secretions on operator as well on the floor occurs.
However, keeping this in mind and being part of a developing country with limited resources,
we came with an idea of attaching a disposable plastic polythene bag with sealed end around the
therapeutic channel (Image 1).
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Akmal M, Rahat A, Kamani L. Prevention from Biliary Contamination during Endoscopic Retrograde Cholangiopancreatography: A Novel Technique. J Gastroenterol Hepatol Endosc. 2023; 8(1): 1112..