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Papillotomy with ENDO CUT® I

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

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