Fig. 6From: Enlarged fistulotomy of the papilla as access to the biliary tract during ERCPFailed EFP in the first attempt. a small papilla and failed cannulation with the sphincterotome and guide wire; b EFP with wide incisions; c failed cannulation after dissection; d 6 days later: the bile duct is easily visualized by staining the bile around the fistula orifice; e cannulation of the bile duct; f deep cannulation and contrast injectionBack to article page