New Kid on the Block: Development of a Partially Disposable System for Cholangioscopy - 20/08/11

Doi : 10.1016/j.giec.2009.06.001

Krishnavel V. Chathadi, MD ^a,^b, Yang K. Chen, MD ^a,^c,^d,^⁎
^a Division of Gastroenterology and Hepatology, Department of Medicine, University of Colorado Denver, MS 735, 1653 Aurora Court, Room AIP 2.031, Aurora, CO 80045, USA
^b Division of Gastroenterology, Department of Medicine, Denver Health Medical Center, 777 Bannock Street, Mail Code 4000, Denver, CO 80204, USA
^c Department of Medicine, University of Colorado Hospital, 12605 E. 16th Avenue, Aurora, CO 80045, USA
^d University of Colorado Denver, MS 735, 1635 Aurora Court, Room AIP 2.031, Aurora, CO 80045, USA

Corresponding author. University of Colorado Denver, MS 735, 1635 Aurora Court, Room AIP 2.031, Aurora, CO 80045.

Résumé

The SpyGlass Direct Visualization System is a significant step forward in bringing optical visualization to the pancreatobiliary system by providing dedicated irrigation and therapeutic channels and 4-way steerability. Peroral cholangioscopy using the SpyGlass System may be safely performed by a single operator and provides reliable access to target sites for visual inspection and stone therapy using electrohydraulic lithotripsy or holmium laser lithotripsy. In addition, the SpyBite Biopsy Forceps has been shown to obtain adequate histologic tissue specimens reliably.

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Keywords : Cholangioscopy, SpyGlass, ERCP, EHL, Directed biopsy, Biliary stricture, Biliary stone