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Technical tips for peroral transluminal cholangioscopy using novel single-operator cholangioscope (with videos)
- Source :
- Journal of Hepato-Biliary-Pancreatic Sciences. 23:E25-E29
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Endoscopic retrograde cholangiopancreatography (ERCP) is the gold-standard modality for diagnosis and therapy of bilio-pancreatic disease. In particular, peroral cholangiography (POCS) is a useful modality not only for diagnosing biliary disease, but also for therapeutic procedures such as electrohydraulic lithotripsy. The SPY-DS single-operator cholangioscope has recently become available, and offers favorable visualization, a wide view, suction function and a larger accessory working channel. However, if the duodenoscope cannot be advanced into the ampulla of Vater for reasons such as surgical anatomy, POCS cannot be performed. On the other hand, percutaneous transhepatic cholangiodrainage (PTCD) has been developed as an alternative endoscopic ultrasound-guided approach to the biliary tract. Peroral transluminal cholangioscopy (PTLC) using SPY-DS is a novel approach. Because transluminal interventional procedures under endoscopic ultrasound guidance have recently been developed, our technique may have clinical impact for selected cases.
- Subjects :
- Endoscopic ultrasound
medicine.medical_specialty
Endoscopic retrograde cholangiopancreatography
Hepatology
medicine.diagnostic_test
Peroral cholangiography
business.industry
Ampulla of Vater
medicine.disease
Percutaneous transhepatic cholangiodrainage
Electrohydraulic lithotripsy
Biliary disease
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Biliary tract
030220 oncology & carcinogenesis
medicine
030211 gastroenterology & hepatology
Surgery
Radiology
business
Subjects
Details
- ISSN :
- 18686974
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Hepato-Biliary-Pancreatic Sciences
- Accession number :
- edsair.doi...........88e857b9760d24e7e984242ea3d2100c