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Choledochoscopy: Techniques and Innovation

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

Cholangioscopy was introduced in the mid-1970s with small fiber-optic scopes. Technological improvements of the last decades led to a development of cholangioscopes with an excellent maneuverability being able to reach deep into the biliary tree. Introduction of high-resolution imaging and incorporation of narrow band imaging gave us a better understanding of the lesions seen during cholangioscopy. Larger working channels, adding the ability of irrigation together with especially designed tools, extended the range of therapeutic options that could be performed under direct vision and moved the cholangioscope from a simple diagnostic into a more and more therapeutic device. These constant improvements made it possible to assess and treat the pancreaticobiliary system under direct vision, almost without fluoroscopy similar to gastrointestinal endoscopy. Major concepts in transpapillary cholangioscopy are either using a “mother-baby” device with one or two endoscopists or using a direct peroral cholangioscope. A second important difference is weather the cholangioscope is designed for a single use or multiple use. Whatever concept is used, cholangioscopy today became an adequate diagnostic and therapeutic tool in the endoscopic management of pancreaticobiliary diseases with an increasing number of applications.

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Authors and Affiliations

  1. Evangelisches Krankenhaus Duesseldorf, Duesseldorf, Germany

    Christian Gerges, Torsten Beyna & Horst Neuhaus

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  1. Christian Gerges
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  2. Torsten Beyna
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  3. Horst Neuhaus
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Correspondence to Horst Neuhaus .

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Editors and Affiliations

  1. Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, MILANO, Milano, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Div. of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL, USA

    Michael B. Wallace

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  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

Supplementary Electronic Material (S)

Mother Baby cholangiscopic evaluation of a subhilar biliary stricture. (Prof. Moon/Prof. Deviere) (MP4 20943 kb)

CBD Stone laser lithotripsy with a double-bending cholangioscopy. (Prof. Neuhaus) (MP4 121108 kb)

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Gerges, C., Beyna, T., Neuhaus, H. (2020). Choledochoscopy: Techniques and Innovation. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-29964-4_73-1

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  • Print ISBN: 978-3-030-29964-4

  • Online ISBN: 978-3-030-29964-4

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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