Cholangiopancreatoscopy

Raj J. Shah, Douglas G. Adler, Jason D. Conway, David L. Diehl, Francis A. Farraye, Sergey V. Kantsevoy, Richard Kwon, Petar Mamula, Sarah Rodriguez, Louis Michel Wong Kee Song, William M. Tierney

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Cholangioscopy with intraductal lithotripsy has become an established modality in the treatment of difficult biliary stones. When used in the evaluation of indeterminate biliary strictures by endoscopists experienced in recognizing intraductal conditions, it increases the diagnostic yield of tissue sampling. Pancreatoscopy is complementary to other imaging modalities in the evaluation of IPMN and remains investigational in the diagnosis of pancreatic adenocarcinoma and the treatment of pancreatic duct stones. Because of lower morbidity rates, the per oral approach is preferred over the percutaneous route for both intraductal lithotripsy and tissue sampling and can be performed at the time of the initial ERCP. The percutaneous approach should be reserved for targeting inaccessible intrahepatic stones and strictures. Until cholangioscopy becomes technically less demanding, cholangioscopes more durable, and an appropriate billing code for per oral cholangioscopy is established, cholangiopancreatoscopy will likely continue to be limited to referral centers.

Original languageEnglish (US)
Pages (from-to)411-421
Number of pages11
JournalGastrointestinal Endoscopy
Volume68
Issue number3
DOIs
StatePublished - Sep 2008
Externally publishedYes

Fingerprint

Lithotripsy
Pathologic Constriction
Endoscopic Retrograde Cholangiopancreatography
Pancreatic Ducts
Adenocarcinoma
Referral and Consultation
Morbidity
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Shah, R. J., Adler, D. G., Conway, J. D., Diehl, D. L., Farraye, F. A., Kantsevoy, S. V., ... Tierney, W. M. (2008). Cholangiopancreatoscopy. Gastrointestinal Endoscopy, 68(3), 411-421. https://doi.org/10.1016/j.gie.2008.02.033

Cholangiopancreatoscopy. / Shah, Raj J.; Adler, Douglas G.; Conway, Jason D.; Diehl, David L.; Farraye, Francis A.; Kantsevoy, Sergey V.; Kwon, Richard; Mamula, Petar; Rodriguez, Sarah; Wong Kee Song, Louis Michel; Tierney, William M.

In: Gastrointestinal Endoscopy, Vol. 68, No. 3, 09.2008, p. 411-421.

Research output: Contribution to journalArticle

Shah, RJ, Adler, DG, Conway, JD, Diehl, DL, Farraye, FA, Kantsevoy, SV, Kwon, R, Mamula, P, Rodriguez, S, Wong Kee Song, LM & Tierney, WM 2008, 'Cholangiopancreatoscopy', Gastrointestinal Endoscopy, vol. 68, no. 3, pp. 411-421. https://doi.org/10.1016/j.gie.2008.02.033
Shah RJ, Adler DG, Conway JD, Diehl DL, Farraye FA, Kantsevoy SV et al. Cholangiopancreatoscopy. Gastrointestinal Endoscopy. 2008 Sep;68(3):411-421. https://doi.org/10.1016/j.gie.2008.02.033
Shah, Raj J. ; Adler, Douglas G. ; Conway, Jason D. ; Diehl, David L. ; Farraye, Francis A. ; Kantsevoy, Sergey V. ; Kwon, Richard ; Mamula, Petar ; Rodriguez, Sarah ; Wong Kee Song, Louis Michel ; Tierney, William M. / Cholangiopancreatoscopy. In: Gastrointestinal Endoscopy. 2008 ; Vol. 68, No. 3. pp. 411-421.
@article{dad9499f67394d43911ac05f38fd1e08,
title = "Cholangiopancreatoscopy",
abstract = "Cholangioscopy with intraductal lithotripsy has become an established modality in the treatment of difficult biliary stones. When used in the evaluation of indeterminate biliary strictures by endoscopists experienced in recognizing intraductal conditions, it increases the diagnostic yield of tissue sampling. Pancreatoscopy is complementary to other imaging modalities in the evaluation of IPMN and remains investigational in the diagnosis of pancreatic adenocarcinoma and the treatment of pancreatic duct stones. Because of lower morbidity rates, the per oral approach is preferred over the percutaneous route for both intraductal lithotripsy and tissue sampling and can be performed at the time of the initial ERCP. The percutaneous approach should be reserved for targeting inaccessible intrahepatic stones and strictures. Until cholangioscopy becomes technically less demanding, cholangioscopes more durable, and an appropriate billing code for per oral cholangioscopy is established, cholangiopancreatoscopy will likely continue to be limited to referral centers.",
author = "Shah, {Raj J.} and Adler, {Douglas G.} and Conway, {Jason D.} and Diehl, {David L.} and Farraye, {Francis A.} and Kantsevoy, {Sergey V.} and Richard Kwon and Petar Mamula and Sarah Rodriguez and {Wong Kee Song}, {Louis Michel} and Tierney, {William M.}",
year = "2008",
month = "9",
doi = "10.1016/j.gie.2008.02.033",
language = "English (US)",
volume = "68",
pages = "411--421",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Cholangiopancreatoscopy

AU - Shah, Raj J.

AU - Adler, Douglas G.

AU - Conway, Jason D.

AU - Diehl, David L.

AU - Farraye, Francis A.

AU - Kantsevoy, Sergey V.

AU - Kwon, Richard

AU - Mamula, Petar

AU - Rodriguez, Sarah

AU - Wong Kee Song, Louis Michel

AU - Tierney, William M.

PY - 2008/9

Y1 - 2008/9

N2 - Cholangioscopy with intraductal lithotripsy has become an established modality in the treatment of difficult biliary stones. When used in the evaluation of indeterminate biliary strictures by endoscopists experienced in recognizing intraductal conditions, it increases the diagnostic yield of tissue sampling. Pancreatoscopy is complementary to other imaging modalities in the evaluation of IPMN and remains investigational in the diagnosis of pancreatic adenocarcinoma and the treatment of pancreatic duct stones. Because of lower morbidity rates, the per oral approach is preferred over the percutaneous route for both intraductal lithotripsy and tissue sampling and can be performed at the time of the initial ERCP. The percutaneous approach should be reserved for targeting inaccessible intrahepatic stones and strictures. Until cholangioscopy becomes technically less demanding, cholangioscopes more durable, and an appropriate billing code for per oral cholangioscopy is established, cholangiopancreatoscopy will likely continue to be limited to referral centers.

AB - Cholangioscopy with intraductal lithotripsy has become an established modality in the treatment of difficult biliary stones. When used in the evaluation of indeterminate biliary strictures by endoscopists experienced in recognizing intraductal conditions, it increases the diagnostic yield of tissue sampling. Pancreatoscopy is complementary to other imaging modalities in the evaluation of IPMN and remains investigational in the diagnosis of pancreatic adenocarcinoma and the treatment of pancreatic duct stones. Because of lower morbidity rates, the per oral approach is preferred over the percutaneous route for both intraductal lithotripsy and tissue sampling and can be performed at the time of the initial ERCP. The percutaneous approach should be reserved for targeting inaccessible intrahepatic stones and strictures. Until cholangioscopy becomes technically less demanding, cholangioscopes more durable, and an appropriate billing code for per oral cholangioscopy is established, cholangiopancreatoscopy will likely continue to be limited to referral centers.

UR - http://www.scopus.com/inward/record.url?scp=49949089401&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=49949089401&partnerID=8YFLogxK

U2 - 10.1016/j.gie.2008.02.033

DO - 10.1016/j.gie.2008.02.033

M3 - Article

C2 - 18538326

AN - SCOPUS:49949089401

VL - 68

SP - 411

EP - 421

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 3

ER -