A collection of video case studies featuring ERCP procedures using cholangioscopy to help familiarize physicians with the various applications for this technology and how it may impact patient care. Go to www.EndoSuite.com to learn more.
Common Bile Duct Stone Case Studies
A 55-year-old patient underwent ERCP using cholangioscopy for removal of a difficult stone and a previously impacted basket.
A 46-year-old patient presented with cholangitis and despite the use of conventional therapies, the stones were unable to be extracted successfully and a plastic stent was placed. The patient returned 2 months later for an outpatient ERCP ...
A 68-year-old male developed obstructive jaundice due to a tightly impacted stone in the common bile duct. Electrohydraulic lithotripsy (EHL) is performed with a probe through a cholangioscope to fracture the stone.
A 54-year-old patient was referred for three large bile duct stones, all larger than 1.2cm. Previous extraction attempts and ERCP procedures had failed. Using the SpyGlass DS System, Dr. Sharma performed an ERCP procedure using cholangioscopy ...
Cystic Duct Stone/Mirizzi Syndrome Case Studies
A 57-year-old man presented to a referring hospital with right upper quadrant pain, fever and elevated liver chemistries.
A 72-year-old-female presented with post-laparoscopic cholecystectomy and underwent 2 failed ERCPs to remove a large biliary stone. A 10fr stent was placed and she returned 2 months later for an ERCP using cholangioscopy with EHL lithotripsy.
A 54-year-old with a history of Down Syndrome and pyloric stenosis presented with jaundice and abdominal pain.
A 58-year-old patient underwent 2 failed ERCP procedures in an attempt to remove an obstructing 8mm stone. The patient was then referred for an ERCP with cholangioscopy using the SpyGlass™ DS System.
Biliary Stricture Case Studies
A 32-year-old male was referred for evaluation after an abnormal MRCP. ERCP using cholangioscopy is performed and direct tissue sampling of the dominant stricture is conducted using SpyBite™ Biopsy Forceps.
Cholangioscopy is used to assess an indeterminant bile duct stricture. Targeted biopsies demonstrate infiltrating carcinoma suggestive of gallbladder origin.
In this case, the SpyGlass DS System is used to facilitate advanced detection and appropriate staging.
Other Types of Cases
In this case, Dr. Sharma and Dr. Lowe use the SpyGlass™ DS System to evaluate local invasion of gallbladder cancer into the cystic duct stump and the common bile duct.