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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2018, Number 3

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Cir Gen 2018; 40 (3)

Treatment of difficult-to-treat choledocholithiasis by cholangioscopy and laser lithotripsy: new technology for an old problem. A case report

Acuña PR, Belmont GMF, Sánchez RI, Acuña MA, Leal MG, Torres MR, Cerón CR, Frías AI

Language: Spanish
References: 20
Page: 195-199
PDF size: 240.42 Kb.


ABSTRACT

Introduction: Endoscopic visualization of the biliary tract and the pancreatic duct has been performed for the past two decades. However, its application in daily practice in endoscopy units is infrequent. Modifications made to the cholangioscope in the past few years have greatly improved its operativity, and its combination with optical fiber now enables the treatment of difficult-to-treat calculi in both the biliary tract and the main pancreatic duct. This paper describes the first case treated with the SpyGlass™ DS (Boston Scientific) cholangioscopy system and laser lithotripsy in Mexico. Choledocholithiasis was resolved without complications. Improvements to this endoscope have led to superior functionality. Applying this technology offers a new therapeutic tool to safely resolve difficult-to-treat calculi, as shown in this case.


REFERENCES

  1. Nakajima M, Akasaka Y, Yamaguchi K, Fujimoto S, Kawai K. Direct endoscopic visualization of the bile and pancreatic duct systems by peroral cholangiopancreatoscopy (PCPS) Gastrointest Endosc. 1978; 24: 141-145.

  2. Ponchon T, Gagnon P, Valette PJ, Henry L, Chavaillon A, Thieulin F. Pulsed dye laser lithotripsy of the bile duct stones. Gastroenterology. 1991; 100: 1730-1736.

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

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

  5. Shah RJ, Neuhaus H, Parsi M, Nageshwar RD, Pleskow DK. Randomized assessment of a semidisposable, digital single operator cholangioscope in a biliary tract bench model. Endosc Int Open. 2018; 6: E851-E856.

  6. Parsi MA, Jang S, Sanaka M, Stevens T, Vargo JJ. Diagnostic and therapeutic cholangiopancreatoscopy: performance of a new digital cholangioscope. Gastrointest Endosc. 2014; 79: 936-947.

  7. Cotton PB, Eisen GM, Aabakken L, Baron TH, Hutter MM, Jacobson BC, et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc. 2010; 71: 446-454.

  8. Navaneethan U, Hasan MK, Lourdusamy V, Njei B, Varadarajulu S, Hawes RH. Single operator cholangioscopy and targeted biopsies in the diagnosis of indeterminate biliary strictures: a systematic review. Gastrointest Endosc. 2015; 82: 608-614.e2.

  9. Itoi T, Sofuni A, Itokawa F, Tsuchiya T, Kurihara T, Ishii K, et al. Peroral cholangioscopy diagnosis of biliary-tract diseases by using narrow band imaging (with video). Gastrointest Endosc. 2007; 66: 730-736.

  10. Parsi MA, Stevens T, Collins J, Vargo JJ. Utility of a prototype peroral video cholangioscopy system with narrow-band imaging for evaluation of biliary disorders (with videos). Gastrointest Endosc. 2011; 74: 1148-1151.

  11. Kim HJ, Kim MH, Lee SK, Yoo KS, Seo DW, Min YI. Tumor vessels: a valuable cholangioscopic clue of malignant biliary stricture. Gastrointest Endosc. 2000; 52: 635-638.

  12. Seeholf A, Shumacher B, Neuhaus H. Prospective study of SpyGlass guided laser lithotripsy of bile duct stones after failure of conventional endoscopic techniques (abstract). Gastrointest Endosc. 2009; 69: AB261.

  13. Attwell AR, Patel S, Kahaleh M, Raijman IL, Yen R, Shah RJ. ERCP with per-oral pancreatoscopy-guided laser lithotripsy for calcific chronic pncreatritis: a multicenter US experience. Gastrointest Endosc. 2015; 82: 311-318.

  14. Shah R, Raijman I, Brauer BC, Gumustop B, Hasan MK, Hawes R, et al. A US multicenter first human use experience using the fully disposable, digital single operator cholangioscope (DSOCP) (abstract). Gastrointest Endosc. 2016; 83: AB141.

  15. Manta R, Frazzoni M, Conigliaro R, Maccio L, Melotti G, Dabizzi E, et al. SpyGlass single-operator peroral cholangioscopy in the evaluation of indeterminate biliary lesions: a single center, prospective cohort study. Sur Endosc. 2013; 27: 1569-1572.

  16. Ishida V, Itol T, Okabe Y. Can image-enhanced cholangioscopy distinguish benign from malignant lesions in the biliary duct? Best practice. Res Clin Gastrointest. 2015; 611-625.

  17. Tringali A, Lemmers A, Meves V, Terheggen G, Pohl J, Manfredi G, et al. Intraductal biliopancreatic imaging: European Society of Gastrointest Endoscopy (ESGE) technology review. Endoscopy. 2015; 47: 739-753.

  18. Sha RJ. Innovations in intraductal endoscopy cholangioscopy and pancreatoscopy. Gastrointest Endosc Clin N Am. 2015; 25: 779-792.

  19. Wright ER, Bakis G, Srinivasan R, Raju R, Vittal H, Sanders MK, et al. Intraprocedural tissue diagnosis during ERCP employing a new cytology preparation of forceps biopsy (Smash protocol). Am J Gastroenterol. 2011; 106: 294-299.

  20. Sethi A, Doukides T, Sejpal DV, Pleskow DK, Slivka A, Adler DG, et al. Interobserver agreement for single operator choledocoscopy imaging; can we do better? Diagn Ther Endosc. 2014; 14: 730-731.




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