SpyGlass by single-operator in ERCP-guided cholangiopancreatoscopy system for bile-duct disorders
10.3760/cma.j.issn.1007-5232.2014.01.004
- VernacularTitle:SpyGlass单人操作胆道镜系统治疗胆道疾病的初步临床研究
- Author:
Changqin XU
;
Peng LI
;
Yongjun WANG
;
Ming JI
;
Shutian ZHANG
- Publication Type:Journal Article
- Keywords:
Biliary tract diseases;
Duodenoscope;
Cholangiopancreatography,endoscopic retrograde
- From:
Chinese Journal of Digestive Endoscopy
2014;31(1):14-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical utility of SpyGlass single-operator ERCP-guided cholangiopancreatoscopy system for the diagnosis and treatment of bile duct disorders.Methods A total of 9 patients with biliary diseases were treated with SpyGlass single-operator ERCP-guided cholangiopancreatoscopy system.Four patients with large bile duct stones accepted laser lithotripsy,and stones were removed by ERCP.Five patients with indeterminate bile duct stricture accepted cholangioscopy-guided sampling.All patients underwent ENBD,routine blood test,blood amylase test,oral food and water restriction,acid suppression and prophylactic antibiotics.Results SpyGlass was successful in all patients with a manipulating time of 21.2min and total procedure time of 46.2min.Complete stone clearance was achieved in all 4 patients with large biliary stones.Sample quality was adequate in all patients with bile duct stricture with 2 patients diagnosed as having malignant biliary tumor and 3 as inflammatory bile duct stenosis.Post-ERCP complications including mild pancreatitis in 2 patients,and the patients recovered gradually after corresponding treatment.Conclusion ERCP-guided cholangiopancreatoscopy with the SpyGlass system is technically feasible and can be successfully and safely performed in patients with biliary disorders.
