Management of malignant biliary diseases by the use of peroral and percutaneous cholangioscopy.

ABSTRACT:

Background and aims

The single-operator digital cholangioscope has allowed visual access to the biliary tree and the ability to perform selective biopsies. This has significantly improved our diagnostic yield in bile-duct disorders. Cholangioscopy requires specialized equipment and expertise. It is especially challenging in altered anatomy for various reasons, including difficulty in accessing the biliary tree, difficulty in maintaining endoscope position, and difficulty in using ERCP specialized tools. In addition, the use of cholangioscopy in interventional procedures has been very limited. In this video, we demonstrate some of the diagnostic and therapeutic uses of percutaneous cholangioscopy in patients with altered anatomy of the biliary tree.

Methods

Percutaneous chola

SUBMITTER: Alshati A 

PROVIDER: S-EPMC6730491 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature