Usefulness of direct peroral cholangioscopy in the management of intrahepatic lithiasis

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Usefulness of direct peroral cholangioscopy in the management of intrahepatic lithiasis.

Intrahepatic lithiasis is a rare condition in Western countries, and the majority of reported cases to date have been associated with extrahepatic biliary tract gallstones and hereditary cystic disorders, such as Caroli disease. The usual clinical presentation consists of repeated episodes of cholangitis, which can be complicated by liver abscess and sepsis. The management of intrahepatic galls...

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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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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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ژورنال

عنوان ژورنال: Endoscopy

سال: 2014

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0034-1377952