{"title":"Cholangioscopy and pancreatoscopy","authors":"Amrita Sethi MD , Raj J. Shah MD, FASGE, AGAF","doi":"10.1016/j.tgie.2017.09.001","DOIUrl":null,"url":null,"abstract":"<div><p><span>Cholangiopancreatoscopy has evolved significantly since its introduction over 40 years ago. The systems have gone through multiple iterations that has allowed for widespread performance of per-oral cholangiopancreatoscopy for diagnostic and therapeutic intent. Development of imaging criteria is evolving and its yield in the detection of neoplasia in conjunction with targeted tissue sampling is excellent. However, image interpretation remains a challenge. Guidelines for training in per-oral cholangiopancreatoscopy, as well as demonstration of competency, are currently lacking but require deliberate debate as the technology continues to gather enthusiasm and momentum as an established complement to </span>endoscopic retrograde cholangiopancreatography.</p></div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":"19 3","pages":"Pages 182-187"},"PeriodicalIF":0.0000,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2017.09.001","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Gastrointestinal Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S109628831730061X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 9
Abstract
Cholangiopancreatoscopy has evolved significantly since its introduction over 40 years ago. The systems have gone through multiple iterations that has allowed for widespread performance of per-oral cholangiopancreatoscopy for diagnostic and therapeutic intent. Development of imaging criteria is evolving and its yield in the detection of neoplasia in conjunction with targeted tissue sampling is excellent. However, image interpretation remains a challenge. Guidelines for training in per-oral cholangiopancreatoscopy, as well as demonstration of competency, are currently lacking but require deliberate debate as the technology continues to gather enthusiasm and momentum as an established complement to endoscopic retrograde cholangiopancreatography.
期刊介绍:
The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.