Cholangioscopy

With the introduction of the first single-operator cholangioscopy system in 2007 (SpyGlass™ System), peroral cholangioscopy has become a well-established procedure throughout the world. In 2015, Boston Scientific introduced the SpyGlass DS System incorporating digital imaging, a wider field of view and a simpler ‘plug and play’ set-up.

This web page is intended to provide an online venue to share clinical data, case studies and perspectives on cholangioscopy from experts in the field to educate other physicians.



Cholangioscopy

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Image Atlas
 
SpyGlass™ DS Direct Visualization System Video Case Study Atlas
 

Presentations on Digital Cholangioscopy

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No Stone Left Unturned: Difficult Stone Management Techniques and Clinical Perspective, by Mouen Khashab, MD, Johns Hopkins Hospital, Baltimore, Maryland, U.S.A.

Dr. Khashab presents different techniques to manage difficult biliary stones, including cholangioscopy (SpyGlass™ DS System) using EHL, mechanical lithotripsy and DASE.

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The Role of Cholangioscopy in Main Duct Cholangiocarcinoma Part 1: Pathology, Biliary Anatomy, and Validated Staging Presented by Neil Sharma, M.D., Parkview Cancer Institute, Ft. Wayne, Indiana, U.S.A.

Neil Sharma, MD, gives an overview of Cholangiocarcinoma and how it is the 2nd most common primary liver malignancy.

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Part 1 - SpyGlass™ DS System: Case Studies & Literature Review, presented by Dr. Benedict Devereaux

Dr. Devereaux presents several case reports reporting on the key indications for cholangioscopy and how its use impacted patient care, procedural success and costs. In Part 2, he presents some of the recent clinical data being reported on cholangioscopy.

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Video Case Studies

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Fragmenting a Stone and Removing an Impacted Lithotripsy Basket using the SpyGlass DS Direct Visualization System presented by Todd H. Baron, M.D.

A 55-year-old patient underwent ERCP using cholangioscopy for removal of stone and a previously impacted basket.

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Diagnosing IPMN in a 70-Year-Old Male Using the SpyGlass DS System, presented by Isaac Raijman, MD

A 70-year-old patient is evaluated for intraductal papillary mucinous neoplasms (IPMN) using cholangioscopy revealing a villous mass extending from the tail of the pancreas to the proximal head.

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Animation

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SpyGlass™ DS Direct Visualization System Animation

This animation includes an overview of the new SpyGlass DS System components, a demonstration of the new digital system taking targeted biopsies with the miniature SpyBite™ forceps as well as targeting large stones for fragmentation using EHL or holmium laser therapy under direct visualization.

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Set-up and Use Tutorials

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SpyScope™ DS Access and Delivery Catheter Setup

This video tutorial provides step-by-step instructions for the setup and use of the SpyScope DS Catheter, including attaching the SpyScope to the controller, the duodenoscopy and the irrigation and aspiration.

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Setup and Use of the SpyGlass™ DS Digital Controller

This video tutorial is particularly useful for the initial set-up of the SpyGlass DS Digital Controller.

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SpyScope™ DS Catheter Removal and Disposal

Step-by-step instructions for the removal and disposal of the SpyScope DS Catheter after a cholangioscopy procedure.

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