Abstract
Purpose: To report the approach, technical success, clinical outcomes, and complications of
interventional radiology-operated endoscopy using the LithoVue disposable endoscope.
Materials and Methods: 12 patients, 6 (50%) males and 6 (50%) females, underwent interventional radiology-operated
endoscopy using the LithoVue disposable endoscope between April 2016 and August 2017.
Presenting complaint, reason for endoscopic evaluation, technical success, clinical
success, procedure time, fluoroscopy time, hospital length of stay, and complications
were recorded. Results: Interventional radiology-operated endoscopy using the LithoVue disposable endoscope
was used in 8 (67%) biliary, 2 (16.5%) urologic, and 2 (16.5%) gastrointestinal procedures.
Five (42%) patients required endoscopy to locate an ostium that could not be cannulated
under fluoroscopy. Five (42%) patients had a biliary-enteric anastomosis with postoperative
anatomy of the bowel which precluded endoscopic retrograde cholangiopancreatography
and underwent endoscopy for removal of calculi. One (8%) patient underwent treatment
of a stricture and one (8%) underwent biopsy. Technical success was 92% (11/12). Clinical
success was 83% (10/12). Two complications, a perinephric hematoma and sepsis, occurred.
Conclusion: Disposable endoscopes, including the LithoVue, may be used in a variety of procedures
to improve patient care and limit fluoroscopy.
Keywords
Cholangioscopy - choledocholithiasis - choledochoscopy - disposable endoscopy - endoscopy
- fistula - interventional endoscopy - laser - LithoVue - nephroscopy
