中文摘要：

普通胆汁管的成功的管子可能在乳头状的小突起完全在一个憩室以内位于的病人是困难的。在这研究，我们在跟随 duodenoscope 的远侧的尖端的 intubation 进十二指肠的憩室并且定位主要乳头状的小突起的三个病人报导成功的胆汁的管子。没有复杂并发症发生在操作期间或在手术后的时期期间。这方法 didnt 需要秒孵化内诊镜和力量降低病人的负担。这技巧因此是有用的处理因为它的安全和便利，在大憩室内隐藏的乳头状的小突起。

英文摘要：

Successful cannulation of the common bile duct may be difficult in patients in whom the papilla is located entirely within a diverticulum.In this study,we report successful biliary cannulation in three patients following intubation of the distal tip of the duodenoscope into the duodenal diverticulum and locating the major papilla.No complications occurred during the operation or during the postoperative period.This method didn＇t need second incubation an endoscope and might lower the burden of patients.So this skill is useful to deal with the papilla hidden inside the large diverticulum because of its safety and convenience.