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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2016, Number 3

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An Med Asoc Med Hosp ABC 2016; 61 (3)

SpyGlass utility in biliary ducts

Ramírez EPM, Farca BA, Angulo MD, Estradas TJ

Language: Spanish
References: 7
Page: 225-228
PDF size: 225.83 Kb.


ABSTRACT

Endoscopic retrograde cholangiopancreatography is the standard method for the evaluation of biliary pathologies. The clinical impress of the cholangioscopy with direct bile conducts visualization, tissue sampling, and technical maneuvers has shown few developments due to the lack of proper technological acquisition. The SpyGlass Direct Visualization System (Boston Scientific Corp., Natick, MA, USA), is designed for single operator examination and 4-way deflected steering, with separate dedicated irrigation channels, which enables it to overcome the preexistent limitations. The objective of this article is to report the case of a patient with a suggestive malignant intraluminal bile duct injury. The SpyGlass system was used in order to obtain an adequate tissue sample for a proper histopathological study, in which well-defined papillary adenocarcinoma was reported.


REFERENCES

  1. Yasuda I, Itoi T. Recent advances in endoscopic management of difficult bile duct stones. Dig Endosc. 2013; 25: 376-385.

  2. Chen YK, Pleskow DK. SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders: a clinical feasibility study (with video). Gastrointest Endosc. 2007; 65 (6): 832-841.

  3. Tieu AH, Kumbhari V, Jakhete N, Onyimba F, Patel Y, Shin EJ et al. Diagnostic and therapeutic utility of SpyGlass(®) peroral cholangioscopy in intraductal biliary disease: single-center, retrospective, cohort study. Dig Endosc. 2015; 27 (4): 479-485. doi: 10.1111/den.12405.

  4. Aljebreen AM, Alharbi OR, Azzam N, Almadi MA. Efficacy of spyglass-guided electrohydraulic lithotripsy in difficult bile duct stones. Saudi J Gastroenterol. 2014; 20 (6): 366-370. doi: 10.4103/1319-3767.145329.

  5. Chen YK, Parsi MA, Binmoeller KF, Hawes RH, Pleskow DK, Slivka A et al. Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos). Gastrointest Endosc. 2011; 74 (4): 805-814. doi: 10.1016/j.gie.2011.04.016.

  6. Kurihara T, Yasuda I, Isayama H, Tsuyuguchi T, Yamaguchi T, Kawabe K et al. Diagnostic and therapeutic single-operator cholangiopancreatoscopy in biliopancreatic diseases: Prospective multicenter study in Japan. World J Gastroenterol. 2016; 22 (5): 1891-1901.

  7. Siddiqui AA, Mehendiratta V, Jackson W, Loren DE, Kowalski TE, Eloubeidi MA. Identification of cholangiocarcinoma by using the SpyGlass Spyscope system for peroral cholangioscopy and biopsy collection. Clin Gastroenterol Hepatol. 2012; 10 (5): 466-471; quiz e48.




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