Cholangioscopy for biliary diseases.

IF 2.8 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Aymeric Becq, Adil Soualy, Marine Camus
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引用次数: 2

Abstract

Purpose of review: Cholangioscopy is a mini-invasive endoscopic procedure, which consists in a direct intraductal visualization of the biliary tract. The purpose of this review is to summarize the technique, the clinical applications, as well as future perspectives of cholangioscopy.

Recent findings: Numerous technologic advances during the last decades have allowed for an improved utility and functionality, leading to a broader use of this procedure, for diagnostic or therapeutic purposes, in the setting of biliary diseases. Novel tools and emerging indications have been developed and more are yet to come.

Summary: Cholangioscopy can be performed by peroral, percutaneous transhepatic or intra-operative transcystic or transcholedochal access. Clinical applications of cholangioscopy are multiple, ranging from visual impression and optical guided biopsies of indeterminate biliary strictures to the management of difficult stones , guidance before biliary stenting and retrieval of migrated ductal stents. Multiple devices such as lithotripsy probes, biopsy forceps, snares and baskets have been developed to help achieve these procedures successfully.Cholangioscopy has improved the way biliary diseases can be visualized and treated. New technology, accessories, and applications are expected in the future.

胆道疾病的胆道镜检查。
综述目的:胆道镜检查是一种微创内镜手术,包括直接在胆道导管内观察胆道。本文就胆道镜检查技术、临床应用及前景作一综述。最近的发现:在过去的几十年里,许多技术的进步使得该手术的实用性和功能得到了改善,从而在胆道疾病的诊断或治疗中得到了更广泛的应用。新的工具和新出现的迹象已经开发出来,更多的尚未到来。总结:胆管镜检查可以经口、经皮、经肝或术中经囊或经颅通道进行。胆道镜的临床应用是多方面的,从视觉印象和不确定胆道狭窄的光学引导活检到难治性结石的治疗,胆道支架置入术前的指导和移行导管支架的取出。已经开发出多种设备,如碎石探头、活检钳、陷阱和篮子,以帮助成功实现这些程序。胆道镜检查改善了胆道疾病的观察和治疗方法。新的技术、配件和应用有望在未来出现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Opinion in Gastroenterology
Current Opinion in Gastroenterology 医学-胃肠肝病学
CiteScore
5.30
自引率
0.00%
发文量
137
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Gastroenterology features hand-picked review articles from our team of expert editors. With twelve disciplines published across the year – including gastrointestinal infections, nutrition and inflammatory bowel disease – every issue also contains annotated references detailing the merits of the most important papers.
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