Positioning cholangioscopy in bile duct stone management: mind the technology gap
نویسندگان
چکیده
منابع مشابه
Early Bile Duct Cancer Detected by Direct Peroral Cholangioscopy with Narrow-Band Imaging after Bile Duct Stone Removal
Cholangioscopy not only enables the direct visualization of the biliary tree, but also allows for forceps biopsy to diagnosis early cholangiocarcinoma. Recently, some reports have suggested the clinical usefulness of direct peroral cholangioscopy (POC) using an ultra-slim endoscope with a standard endoscopic unit by a single operator. Enhanced endoscopy, such as narrow band imaging (NBI), can b...
متن کاملCholangioscopy-directed lithotripsy for a large bile duct stone: the "donut technique".
Conventionally, choledocholithiasis is managed by endoscopic retrograde cholangiopancreatography (ERCP), and it accounts for at least 50% of the approximately 52000 ERCPs performed in the UK each year [1–5]. Bile duct stone clearance traditionally involves the performance of ERCP with biliary sphincterotomy (or sphincteroplasty), followed by the removal of stones from the biliary tree using an ...
متن کاملElectrohydraulic lithotripsy of the common bile duct stone under transnasal direct cholangioscopy.
been recognized as a useful technique for the removal of choledocholithiasis, which is usually performed under the control of a peroral “mother−baby” cholangioscopic system or percutaneous transhepatic choledochoscopy [1,2]. However, the method may be disadvantageous due to its complicated procedure. Recently, the use of an ultraslim endoscope to direct cholangioscopy [3] as well as endoscopic ...
متن کاملEndoscopic management of the difficult common bile duct stone.
Over the past two decades, endoscopic sphincterotomy has become the primary therapy for retained or recurrent choledocholithiasis. Nevertheless, in about 10% of patients, complete ductal clearance is not possible using standard balloon and basket techniques. A variety of endoscopically guided lithotripsy devices can substantially improve the chances of extracting stones that are resistant to co...
متن کاملCholangioscopy in bile duct disease: a case series.
CONTEXT Direct endoscopic visualization of biliopancreatic duct is certainly one of the greatest advances of therapeutic endoscopy. The use of a single-operator cholangioscopy platform (SpyGlass) is a promising technique in the evaluation of diseases such as indeterminate biliary stricture and giant choledocholitiasis. This is the first Brazilian case series using this technology. METHODS We ...
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ژورنال
عنوان ژورنال: Frontline Gastroenterology
سال: 2018
ISSN: 2041-4137,2041-4145
DOI: 10.1136/flgastro-2018-100963