Papillotomy with ENDO CUT® I

Indications

  • Cholelitiasis with biliary obstruction (gallstones with bile duct blockage)
  • Benign papillary stenoses
  • Narrowing of the minor duodenal papilla with pancreas divisum

Advantages of ERBE equipment

  • ENDO CUT I enables controlled cutting with sufficient hemostasis
  • No "zipper effect"
  • Fractionated cutting in CUT-COAG intervals
  • Individual adjustment of the CUT-COAG intervals
  • Configurable and reproducible staunching of bleeding (4 effect settings)

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Operation steps
Anatomical view during a biliary papillotomy procedure

Anatomical view during a biliary papillotomy procedure

sphincter of Oddi (blue), sphincter muscle of the choledochal duct (gray), gastroduodenal artery and branching blood vessels (orange/ red).

ENDO CUT I - cutting stage during papillotomy procedure

ENDO CUT I - cutting stage during papillotomy procedure

When cutting with a papillotome, small arcs ( yellow) are created between the cutting wire of the papillotome and the tissue. In the cutting mode ENDO CUT I, the cutting stage is automatically regulated through the recognition of spark formation.

ENDO CUT I - coagulation during cutting in a papillotomy procedure

ENDO CUT I - coagulation during cutting in a papillotomy procedure

The coagulation cycle prepares the tissue for the next cutting cycle to ensure various levels of hemostasis prior to any subsequent cut. The intensity of the coagulation, the so-called coagulation effect, can be modified with ENDO CUT I using four different settings.