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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2022; 13(01): 008-013
DOI: 10.1055/s-0042-1743183
Review Article

Cholangioscopy: Has It Changed Management?

Sudipta Dhar Chowdhury
1   Department of Gastroenterology, Christian Medical College, Vellore, India
,
Rajeeb Jaleel
1   Department of Gastroenterology, Christian Medical College, Vellore, India
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Abstract

The single operator per oral cholangioscope is a catheter-based system that allows for direct visualization of the bile duct and pancreatic duct. The instrument with its improved imaging technique and larger accessory channel allows for high-quality image acquisition and performance of therapeutic and diagnostic procedures within the bile duct and pancreatic duct. There has been an increase in the range of indications for the use of the cholangioscope. The current indications include management of difficult biliary stones, pancreatic calculi, assessment of indeterminate biliary stricture, pancreatic stricture, intra-ductal papillary mucinous neoplasms, and extractions of proximally migrated stents. The use of laser lithotripsy and electro-hydraulic lithotripsy has improved the management of difficult bile duct stones. Direct visualization of biliary and pancreatic duct strictures is helpful in the diagnosis of indeterminate strictures. In this review, we explore how cholangioscopy has changed management.

Keywords

bile duct - biliary stricture - cholangioscopy - choledocholithiasis - pancreatoscopy - spyglass


Publication History

Article published online:
25 April 2022

© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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