Current status of peroral cholangioscopy in biliary tract diseases
نویسندگان
چکیده
منابع مشابه
ERCP and Cholangioscopy: Changing Role in Biliary Diseases
The traditional mother-daughter system employs a duodenoscope that allows a baby cholangioscope (Fig. 1) to pass through its large instrument channel into the bile duct. This usually requires a sphincterotomy or sphincteroplasty to allow biliary access with the cholangioscope. Two endoscopists are typically required for this procedure, which is limited by the extreme fragility of the cholangios...
متن کاملPeroral cholangioscopy: use of a Roth Net retriever for difficult biliary stones.
Bile duct stones are routinely removed during endoscopic retrograde cholangiopancreatography (ERCP) with biliary sphincterotomy, using standard balloon or basket extraction techniques. However, in approximately 10%–15% of patients, bile duct stonesmay be difficult to remove owing to challenging access to the bile duct, large bile duct stones (>15mm in diameter), intrahepatic stones, or impacted...
متن کاملCurrent Status of Peroral Endoscopic Myotomy
Peroral endoscopic myotomy (POEM) has been established as an optional treatment for achalasia. POEM is an endoluminal procedure that involves dissection of esophageal muscle fibers followed by submucosal tunneling. Inoue first attempted to use POEM for the treatment of achalasia in humans. Expanded indications of POEM include classic indications such as type I, type II, type III achalasia, fail...
متن کاملSuccessful biliary drainage with peroral direct cholangioscopy in a patient with Roux-en-Y hepaticojejunostomy for congenital biliary dilatation.
The diagnostic and therapeutic effectiveness of combined double-balloon endoscopy with a short endoscope and peroral direct cholangioscopy with an ultraslim endoscope in patients who have altered gastrointestinal anatomy has been demonstrated [1–5]. We describe successful biliary drainage with a short double-balloon endoscope and peroral direct cholangioscopy in a patient who had cholangitis af...
متن کاملA 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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: World Journal of Gastrointestinal Endoscopy
سال: 2015
ISSN: 1948-5190
DOI: 10.4253/wjge.v7.i5.510