ISSN: 1859 - 2872
2 cases of biliary tract disease intervention through ercp combined with the use of Spyglass
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Keywords
ERCP, SpyGlass, Bile duct stones, Biliary tumor biopsy, Direct peroral cholangioscopy
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) combined with direct cholangiography using the SpyGlass system is an important step forward, the most advanced technique currently in the diagnosis and treatment of biliary tract diseases. Our two clinical cases have successfully applied this technique to crush large common bile duct stones, detect biliary polyps and perform targeted biopsies. The use of SpyGlass helps to directly observe the lesions, improve the accuracy of diagnosing biliary tract cancer, treat large biliary tract stones, and help patients avoid invasive methods with many risks such as infection, bleeding and biliary stricture.
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References
1. Deprez PH et al (2018) The economic impact of using single-operator cholangioscopy for the treatment of difficult bile duct stones and diagnosis of indeterminate bile duct strictures. Endoscopy, 50(2): 109-118.
2. Tanisaka Y and Hawes R (2025) Peroral cholangioscopy: past, present and future. Clin Endosc 58(3): 360-369.
3. Sung MJ et al (2025) Diagnostic cholangioscopy for surgical planning of extrahepatic cholangiocarcinoma. Sci Rep 15(1): 3654.
4. Skenteris G et al (2025) Effectiveness of cholangioscopy guided biopsy versus ERCP guided brushings in diagnosing malignant biliary strictures. Surg Endosc 39(2): 1140-1146.
5. E Guarner et al (2025) Cholangioscopy-Guided Lithotripsy in Complex Biliary Lithiasis: Fully Covered Metal Stents to Facilitate Extraction. Endoscopy, 57(S 02): 95.
6. Korrapati P et al (2020) Digital single-operator cholangioscopy for diagnosis and management of biliary disorders: A systematic review and meta-analysis. Gastrointest Endosc 91(4): 893-902.
2. Tanisaka Y and Hawes R (2025) Peroral cholangioscopy: past, present and future. Clin Endosc 58(3): 360-369.
3. Sung MJ et al (2025) Diagnostic cholangioscopy for surgical planning of extrahepatic cholangiocarcinoma. Sci Rep 15(1): 3654.
4. Skenteris G et al (2025) Effectiveness of cholangioscopy guided biopsy versus ERCP guided brushings in diagnosing malignant biliary strictures. Surg Endosc 39(2): 1140-1146.
5. E Guarner et al (2025) Cholangioscopy-Guided Lithotripsy in Complex Biliary Lithiasis: Fully Covered Metal Stents to Facilitate Extraction. Endoscopy, 57(S 02): 95.
6. Korrapati P et al (2020) Digital single-operator cholangioscopy for diagnosis and management of biliary disorders: A systematic review and meta-analysis. Gastrointest Endosc 91(4): 893-902.
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Published
Dec 30, 2025
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How to Cite
ThiệuL. V., ĐứcN. V., GiangN. T., AnhP. T., & ThủyN. T. T. (2025). 2 cases of biliary tract disease intervention through ercp combined with the use of Spyglass. Tạp Chí Y Dược lâm sàng 108, 20(8). https://doi.org/10.52389/ydls.v20i8.2882