Fig. 2

Process of selective bile duct cannulation using MagicTome®. a The guidewire is initially inserted into the pancreatic duct through the distal (tip) hole. b The catheter should be slightly put into the pancreatic duct, and another guidewire inserted into the pancreatic duct from the proximal (side) hole. c The guidewire inserted from the distal (tip) hole should be pulled into the catheter, and the catheter itself pulled back to the duodenum. d The approach to the papilla and bile duct can be performed from the duodenum. This method is characterized by not requiring the exchange or removal of any devices during the procedure. e Fluoroscopic image showing two guidewires in the pancreatic duct. f Fluoroscopic image showing successful bile duct cannulation