Reverse Double-Wire Cannulation of the Pancreatic Duct

Biliary hitch and ride technique for blind pancreatic duct cannulation

“…We have developed a variation of the "hitch and ride" technique [3], providing blind access to the pancreatic duct in patients with edematous duodenal folds. In this situation, if biliary cannulation is achieved, a guidewire is left in the common bile duct, as described in the double-wire technique [4]. A slitted cannula, as described in the "hitch and ride" technique [3], is used with a second preloaded guidewire.…”