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Peroral Cholangioscopy/Pancreatoscopy

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Biliopancreatic Endoscopy

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Abstract

With the advances of high-quality and noninvasive imaging techniques such as endoscopic ultrasound (EUS), computed tomography (CT), and magnetic resonance cholangiopancreatography (MRCP), the application of diagnostic endoscopic retrograde cholangiography (ERCP) has markedly decreased in the diagnosis of biliopancreatic disease [1]. ERCP can effectively show the anatomy of the biliary tract and define any strictures or filling defects. However, cytology and biopsy by ERCP-guided method has the best and modest sensitivity in differential diagnosis of benign and malignant lesions. Every endoscopist wishes to glimpse the internal structure of the biliary tract. Nowadays, the biliary tract can be accessed by endoscopy via the oral route. In this chapter, we will review the history, clinical applications, complications, and limitations of currently available peroral cholangioscopes (POC).

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Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

    Wei-Chi Sun M.D. & Hoi-Hung Chan M.D., Ph.D.

  2. School of Medicine, National Yang Ming University, Taipei, Taiwan

    Hoi-Hung Chan M.D., Ph.D.

  3. College of Pharmacy and Health Care, Tajen University, Yanpu, Pingtung, Taiwan

    Hoi-Hung Chan M.D., Ph.D.

  4. Department of Medicine, National Defense Medical Center, Taipei, Taiwan

    Hoi-Hung Chan M.D., Ph.D.

Authors
  1. Wei-Chi Sun M.D.
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  2. Hoi-Hung Chan M.D., Ph.D.
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Corresponding author

Correspondence to Wei-Chi Sun M.D. .

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Editors and Affiliations

  1. Division of Gastroenterology and Hepatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

    Kwok-Hung Lai

  2. Show-Chwan Health Care System, Chang-Hua, Taiwan

    Lein-Ray Mo

  3. Division of Gastroenterology, Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan

    Hsiu-Po Wang

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Sun, WC., Chan, HH. (2018). Peroral Cholangioscopy/Pancreatoscopy. In: Lai, KH., Mo, LR., Wang, HP. (eds) Biliopancreatic Endoscopy. Springer, Singapore. https://doi.org/10.1007/978-981-10-4367-3_18

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  • DOI: https://doi.org/10.1007/978-981-10-4367-3_18

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4366-6

  • Online ISBN: 978-981-10-4367-3

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