Percutaneous Transhepatic Cholangioscopy in Bilioenteric Anastomosis Stricture.

Author: Hyoung Chul OH ¹
Author Information

1. Division of Gastroenterology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. ohcgi@cau.ac.kr
Publication Type:Review
Keywords: Cholangioscopy; Constriction, pathologic; Anastomosis
MeSH: Cholangitis; Choledocholithiasis; Constriction, Pathologic*; Liver Cirrhosis, Biliary; Liver Failure
From:Clinical Endoscopy 2016;49(6):530-532
CountryRepublic of Korea
Language:English
Abstract: Bilioenteric anastomosis strictures are a serious complication of biliary surgery, and often result in recurrent cholangitis, choledocholithiasis, biliary cirrhosis, and hepatic failure. Bilioenteric reconstructive surgery is the standard treatment of choice for such complications. However, percutaneous transhepatic cholangioscopy (PTCS), also known as per-oral endoscopic-guided intervention, is a less invasive procedure that is becoming an increasingly popular alternative. This review describes the PTCS procedure (including the preparation process), as well as the diagnostic and therapeutic role of PTCS in bilioenteric anastomosis strictures.