Biliary intervention using SpyGlass DS cholangioscopy through a cap-attached variable-stiffness colonoscope in a patient following Billroth II gastrectomy

被引:1
作者
Ban, Tesshin
Kawakami, Hiroshi
Kubota, Yoshimasa
机构
[1] Univ Miyazaki, Fac Med, Dept Gastroenterol & Hepatol, Miyazaki, Japan
[2] Univ Miyazaki Hosp, Ctr Digest Dis, Miyazaki, Japan
关键词
Cholangioscopy; Altered anatomy; Bile duct biopsy; SpyGlass DS; Colonoscope; PERORAL DIRECT CHOLANGIOSCOPY; ALTERED GI ANATOMY; CONTROLLED-TRIAL;
D O I
10.1016/j.ajg.2017.07.001
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The SpyGlass DS system is currently used as a direct video cholangioscope for biliary diagnostic and therapeutic procedures. In general, the SpyGlass DS cholangioscope is passed through the working channel of a duodenoscope and inserted into a bile duct via duodenal papilla. However, the procedure has been challenging in patients with altered gastrointestinal anatomy due to the retrograde route through a potentially tortuous afferent limb. A therapeutic colonoscope with variable stiffness can offer alternative guidance for SpyGlass DS cholangioscope in patients with surgically altered gastrointestinal anatomy. (C) 2017 Pan-Arab Association of Gastroenterology. Published by Elsevier B. V. All rights reserved.
引用
收藏
页码:169 / 171
页数:3
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