Endoscopy 2021; 53(S 01): S212
DOI: 10.1055/s-0041-1724845
Abstracts | ESGE Days
ESGE Days 2021 Digital poster exhibition

Solving Two Problems With One Look: Successful Diagnosis of an Indeterminate Biliary Stricture and Removal of a Migrated Biliary Stent By Cholangioscopy

C O’Neill
1   Centro Hospitalar Lisboa Ocidental, Department of Gastroenterology, Lisboa, Portugal
,
T Bana e Costa
1   Centro Hospitalar Lisboa Ocidental, Department of Gastroenterology, Lisboa, Portugal
,
J Neves
2   Centro Hospitalar Universitário do Algarve, Department of Gastroenterology, Faro, Portugal
,
P Queirós
2   Centro Hospitalar Universitário do Algarve, Department of Gastroenterology, Faro, Portugal
,
C Chagas
1   Centro Hospitalar Lisboa Ocidental, Department of Gastroenterology, Lisboa, Portugal
› Author Affiliations
› Further Information
Also available at
 
 

    57-years-old man with obstructive jaundice. Abdominal-CT identified two biliary strictures. ERCP performed for plastic stent placement and cytology of the stricture(negative). During subsequent ERCP the stent fragmented and was not retrieved. Cholangioscopy with SpyGlassDS revealed: migrated stent fragment in right hepatic duct, CBD stenosis with ulceration and a vegetative lesion, suspicious for malignancy(biopsies showed low-grade-dysplasia). The stent was captured using the SpyGlass Snare. Due to high endoscopic suspicion, performed right hepatectomy confirmed Klatskin tumour.

    SpyGlass-cholangioscopy enhances diagnosis of malignant strictures based on visual characteristics, allows guided-biopsies and impacts patient management. Novel Spyglass devices are useful for biliary foreign bodies removal.

    Citation O’Neill C, Bana e Costa T, Neves J et al. eP354V SOLVING TWO PROBLEMS WITH ONE LOOK: SUCCESSFUL DIAGNOSIS OF AN INDETERMINATE BILIARY STRICTURE AND REMOVAL OF A MIGRATED BILIARY STENT BY CHOLANGIOSCOPY. Endoscopy 2021; 53: S212.


    #

    Publication History

    Article published online:
    19 March 2021

    © 2021. European Society of Gastrointestinal Endoscopy. All rights reserved.

    Georg Thieme Verlag KG
    Rüdigerstraße 14, 70469 Stuttgart, Germany