SpyGlass percutaneous transhepatic cholangioscopy-guided lithotripsy of a large intrahepatic stone

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SpyGlass percutaneous transhepatic cholangioscopy-guided lithotripsy of a large intrahepatic stone.

Occasionally, biliary stone management can be really challenging, depending on location, size, number, altered anatomy, and presence of strictures [1]. Although different approaches can be used in this setting, such as endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic biliary drainage (PTBD), and extracorporeal shock wave lithotripsy or surgery [2], more complex c...

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Percutaneous transhepatic cholangioscopy for indeterminate biliary strictures using the SpyGlass system: a case series.

Peroral cholangioscopy is useful in differentiating benign from malignant biliary strictures. However, when conventional biliary access via endoscopic retrograde cholangiopancreatography (ERCP) fails, percutaneous transhepatic cholangioscopy (PTCS) via the SpyGlass cholangioscopy system can be used to achieve a diagnosis. Four patients with biliary strictures in whom conventional ERCP was not p...

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Bilioenteric anastomosis strictures are a serious complication of biliary surgery, and often result in recurrent cholangitis, choledocholithiasis, biliary cirrhosis, and hepatic failure. Bilioenteric reconstructive surgery is the standard treatment of choice for such complications. However, percutaneous transhepatic cholangioscopy (PTCS), also known as per-oral endoscopic-guided intervention, i...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2017

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0043-117943