Cholangiopancreatoscopy: Expanding the Diagnostic Indications of Endoscopic Retrograde Cholangiopancreatography

• Type: Another Publication in an International Scientific Journal
• Date: 2020

Authors

Pereira, P (Author) Other; Costa Moreira, P (Author) Other; Macedo G (Author) FMUP

Journal

Title: Journal of Gastrointestinal and Liver Diseases

Vol. 29

Pages: 445-454

ISSN: 1841-8724

Publisher: Editura Medicala

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 2 Citations

Other information

Authenticus ID: P-00S-QQW

DOI: 10.15403/jgld-1268

Abstract (EN): Besides the adverse effects associated with endoscopic retrograde cholangiopancreatography (FRCP), indirect visualization of the biliopancreatic system through fluoroscopy has limited its diagnostic and therapeutic efficacy. Direct visualization through cholangiopancreatoscopy may overcome this limitation and allow the resolution of many dilemmas related to the diagnostic and therapeutic drawbacks of ERCP. Herein, we discuss the current indications of single-operator cholangioscopy (SOC) concerning the diagnostic interventions within the biliopancreatic system. The current role of SOC in the diagnosis of pancreatobiliary stenosis, primary sclerosing cholangitis, intraductal papillary mucinous neoplasm, and pre-surgical mapping of neoplastic lesions were reviewed. There is growing data in the literature supporting the early implementation of SOC in the diagnostic algorithm of pancreatobiliary diseases. In selected cases, this could prevent diagnostic delay and reduce the risks and costs related to repeated ERCPs. This potential characterizes SOC as safety and cost-effective.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 10