Peroral cholangioscopy: past, present and future
4
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the evaluation of biliary strictures and the managementof bile duct stones. However, standard ERCP techniques sometimes fail for both indications. In such situations, peroral cholangioscopy(POCS), which allows direct visualization of the bile duct, can play a significant role in diagnosis and treatment. Direct visualizationusing POCS can help differentiate between malignant and benign conditions and is more accurate in defining the extent ofcholangiocarcinoma. Furthermore, POCS enables visually guided biopsies. Certain types of difficult bile duct stones, such as impactedand intrahepatic stones, require POCS for visually guided lithotripsy. Recent advancements in POCS will broaden its applicability andimprove its diagnostic utility. In this review, we provide perspectives on the past, present, and future of POCS.
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the evaluation of biliary strictures and the managementof bile duct stones. However, standard ERCP techniques sometimes fail for both indications. In such situations, peroral cholangioscopy(POCS), which allows direct visualization of the bile duct, can play a significant role in diagnosis and treatment. Direct visualizationusing POCS can help differentiate between malignant and benign conditions and is more accurate in defining the extent ofcholangiocarcinoma. Furthermore, POCS enables visually guided biopsies. Certain types of difficult bile duct stones, such as impactedand intrahepatic stones, require POCS for visually guided lithotripsy. Recent advancements in POCS will broaden its applicability andimprove its diagnostic utility. In this review, we provide perspectives on the past, present, and future of POCS.