关键词: Biliary stricture Cholangiopancreatoscopy Cholangioscopy Colangiopancreatoscopia Colangioscopia Cálculo difícil Difficult biliary stones Estenosis biliar Estenosis conducto pancreático Intraductal papillary mucinous neoplasm Neoplasia mucinosa papilar intraductal Pancreatic duct stricture Pancreatolithiasis Pancreatolitiasis

Mesh : Humans Consensus Cholangiopancreatography, Endoscopic Retrograde / methods Cholestasis Endoscopy, Gastrointestinal Pancreas

来  源:   DOI:10.1016/j.gastrohep.2022.08.012

Abstract:
Endoscopic retrograde cholangiopancreatography (ERCP) is the technique of choice for the treatment of biliopancreatic pathology. However, fluoroscopic imaging does not always allow an adequate diagnosis. On the other hand, some large stones cannot be removed by the usual methods. In these situations, cholangioscopy has proven to be an essential tool for the diagnosis of biliary strictures and the treatment of large stones. Its role in pancreatic pathology is also increasing. The development of a single-operator, disposable cholangioscope has made it possible to expand the technique to a large number of hospitals that perform ERCP. For this reason, the Spanish Society of Digestive Endoscopy has developed this consensus document on the use of the Spyglass-DS cholangioscope. The document has been prepared by a group of endoscopists with expertise in cholangioscopy, reviewing the scientific evidence on the main current indications for cholangiopancreatoscopy.
摘要:
内镜逆行胰胆管造影术(ERCP)是治疗胆胰腺病理的首选技术。然而,荧光成像并不总是允许适当的诊断。另一方面,一些大石头不能用通常的方法去除。在这些情况下,胆道镜检查已被证明是诊断胆道狭窄和治疗大结石的重要工具。其在胰腺病理学中的作用也在增加。单一运营商的发展,一次性胆道镜使得将该技术扩展到许多进行ERCP的医院成为可能。出于这个原因,西班牙消化内镜学会就Spyglass-DS胆道镜的使用制定了这份共识文件.该文件是由一组具有胆道镜检查专业知识的内窥镜医师编写的,回顾有关胰胆管镜检查主要适应症的科学证据。
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