Restoration of Completely Transected Common Bile Duct Continuity Using Single Operator Cholangioscopy

Restoration of Completely Transected Common Bile Duct Continuity Using Single Operator Cholangioscopy

Common bile duct (CBD) injury, ranging from a partial tear to a complete transection, is a major surgical complication of cholecystectomy with significant morbidity and mortality. Proper management of these complex injuries depends on the type and extent of injury and time of recognition. Identifying and repairing injuries during cholecystectomy can prevent development of complications, but thi...

Modified rendezvous technique with successful reconnection of completely transected common bile duct using combined endoscopic and radiologic approach.

Double common bile duct visualized by SpyGlass cholangioscopy.

ly rare anomaly of the biliary tract system, which was first described by Vesalius in 1543 [1]. Recent advances in radiologic examinations have facilitated the correct diagnosis and management of this condition, but visualization of the anomaly using cholangioscopy has not been reported [2]. We report the finding of a double common bile duct with ectopic drainage into the duodenal bulb, which w...

Electrohydraulic 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 ...

Cholangioscopy 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 ...