This web page provides clinical data, case studies, tips and techniques and disease management perspectives on digital cholangioscopy from physician experts in this field.
Presentations on Digital Cholangioscopy
Accuracy and cost effectiveness in stricture diagnostics, and a multidisciplinary approach to palliative treatment for non-resectable disease, including stenting, RFA, and mapping with cholangioscopy.
Neil Sharma, MD, gives an overview of Cholangiocarcinoma and how it is the 2nd most common primary liver malignancy.
Dr. Ellrichmann presents his experience diagnosing and treating complex bile duct stones, and shares case studies and data related to cholangioscopy with lithotripsy.
Dr. Shrestha and Dr. Kazimi share their institution’s multi-disciplinary approach to managing patients with liver disease. They also discuss the role that direct visualization and targeted biopsies play in managing these patients.
Dr. Khashab presents different techniques to manage difficult biliary stones, including cholangioscopy (SpyGlass™ DS System) using EHL, mechanical lithotripsy and DASE.
Video Case Studies
After numerous attempts are made to remove a migrated stent in the CBD with various devices, the SpyGlass™ Retrieval Snare is utilized to snare the stent and successfully remove it.
Using the SpyGlass™ DS System, biliary stones are identified and removed, and targeted biopsies are performed where cholangiocarcinoma is suspected. Once a diagnosis of benign ductal cells is confirmed, a plastic stent is placed.
In this case, the SpyGlass DS System is used to facilitate advanced detection and appropriate staging.
A 55-year-old patient underwent ERCP using cholangioscopy for removal of a difficult stone and a previously impacted basket.
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.
The animation shows system components, taking biopsies with the SpyBite™ Biopsy forceps and fragmenting stones using EHL or holmium laser therapy under direct visualization.
Set-up and Use Tutorials
This video tutorial is particularly useful for the initial set-up of the SpyGlass DS Digital Controller.
Articles and Guides