Direct peroral cholangioscopy using an ultrathin endoscope: making technique easier

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Direct peroral cholangioscopy using an ultrathin endoscope: making technique easier.

BACKGROUND Cholangioscopy is a useful tool for the study and treatment of biliary pathology. Ultrathin upper endoscopes allow direct peroral cholangioscopy (DPC) but have some drawbacks. OBJECTIVE The aim of the study was to evaluate the success rate of DPC with an ultrathin endoscope using a balloon catheter to reach the biliary confluence. MATERIAL AND METHODS Prospective observational st...

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Peroral direct cholangioscopy for recurrent bile duct stones, using an ultrathin upper endoscope.

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A novel technique for peroral direct cholangioscopy.

Article Direct cholangioscopy has been possible since the 1970’s (1) but reliable intubation of the common bile duct (CBD) and second order ducts has limited the applicability of the technique. One of the limitations to accessing the ducts is the acute angulation between the duodenum and the CBD (2). Various methods have been employed to access the ducts including mother-and-baby endoscopes and...

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The Role of Direct Peroral Cholangioscopy Using an Ultraslim Endoscope for Biliary Lesions: Indications, Limitations, and Complications

Advantages of direct peroral cholangioscopy (POC) using an ultraslim endoscope include use of conventional endoscopy equipment, operation by a single endoscopist, and superior image quality of the biliary tree with easy application of enhanced endoscopy and a large working channel. The major diagnostic indications of this system are an evaluation of biliary strictures, filling defects, or uncle...

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Successful endoscopic treatment for Mirizzi syndrome type II under direct peroral cholangioscopy using an ultraslim upper endoscope.

Surgery is standard management for patients with Mirizzi syndrome. In cases of Mirizzi syndrome type II, laparoscopic surgery is evenmore complicated because of the cholecystocholedochal fistula. Endoscopic treatment for Mirizzi syndrome is still controversial except to relieve a bile duct obstruction [1,2]. This report describes a successful endoscopic treatment for Mirizzi syndrome type II wi...

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ژورنال

عنوان ژورنال: Revista Española de Enfermedades Digestivas

سال: 2014

ISSN: 1130-0108

DOI: 10.4321/s1130-01082014000100005