Download PDF
Endoscopy 2012; 44(09): 878-881
DOI: 10.1055/s-0032-1310016
Case report/series
© Georg Thieme Verlag KG Stuttgart · New York

Cholangioscopy using a new type of cholangioscope for the diagnosis of biliary tract disease: a case series

V. Cennamo
1   Unit of Digestive Endoscopy, Department of Surgery, AUSL Bologna Bellaria Hospital, Bologna, Italy
,
C. Luigiano
2   Unit of Gastroenterology and Digestive Endoscopy, ARNAS Garibaldi, Catania, Italy
,
C. Fabbri
3   Unit of Gastroenterology, AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy
,
A. Maimone
3   Unit of Gastroenterology, AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy
,
F. Bazzoli
4   Department of Internal Medicine and Gastroenterology, University of Bologna, Italy
,
L. Ceroni
4   Department of Internal Medicine and Gastroenterology, University of Bologna, Italy
,
C. Morace
5   Department of Medicine and Pharmacology, University of Messina, Messina, Italy
,
E. Jovine
6   Unit of General Surgery, AUSL Bologna Maggiore Hospital, Bologna, Italy
› Author Affiliations
Further Information

Publication History

submitted 21 November 2011

accepted after revision 10 April 2012

Publication Date:
18 July 2012 (online)

Also available at
    Permissions and Reprints

We present an initial report regarding the clinical usefulness of peroral cholangioscopy, using a new type of cholangioscope, the Polyscope. Peroral cholangioscopy was performed in four patients with strictures after orthotopic liver transplantation (OLT) which were suspected of being ischemic biliary lesions, in three with indeterminate biliary strictures, in three with suspected retained bile duct stones, and in two for evaluation of the intraductal spread of adenomatous tissue after an ampullectomy. In all cases peroral cholangioscopy was performed successfully without complications. On the basis of direct viewing and/or tissue sampling a correct diagnosis was reached in all cases: in all patients who underwent OLT the strictures were not ischemic; the indeterminate strictures were all benign; and, in patients with suspected stones, complete clearance was confirmed. Intraductal spread was confirmed in one patient and excluded in the other. In our experience, peroral cholangioscopy using a Polyscope is a safe and effective method for diagnosing bile duct lesions.

 

  • References

  • 1 Terheggen G, Neuhaus H. New options of cholangioscopy. Gastroenterol Clin North Am 2010; 39: 827-844
    CrossrefPubMedGoogle Scholar
  • 2 Itoi T, Neuhaus H, Chen YK. Diagnostic value of image-enhanced video cholangiopancreatoscopy. Gastrointest Endosc Clin N Am 2009; 19: 557-566
    CrossrefPubMedGoogle Scholar
  • 3 Petersen BT. Cholangioscopy for special applications: primary sclerosing cholangitis, liver transplant, and selective duct access. Gastrointest Endosc Clin N Am 2009; 19: 579-586
    CrossrefPubMedGoogle Scholar
  • 4 Chathadi KV, Chen YK. New kid on the block: development of a partially disposable system for cholangioscopy. Gastrointest Endosc Clin N Am 2009; 19: 545-555
    CrossrefPubMedGoogle Scholar
  • 5 Kawakami H, Kuwatani M, Etoh K et al. Endoscopic retrograde cholangiography versus peroral cholangioscopy to evaluate intraepithelial tumor spread in biliary cancer. Endoscopy 2009; 41: 959-964
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Itoi T, Osanai M, Igarashi Y et al. Diagnostic peroral video cholangioscopy is an accurate diagnostic tool for patients with bile duct lesions. Clin Gastroenterol Hepatol 2010; 8: 934-938
    CrossrefPubMedGoogle Scholar
  • 7 Draganov PV, Lin T, Chauhan S et al. Prospective evaluation of the clinical utility of ERCP-guided cholangiopancreatoscopy with a new direct visualization system. Gastrointest Endosc 2011; 73: 971-979
    CrossrefPubMedGoogle Scholar