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Long‐scope position insertion for a challenging bile duct access by a novel digital single‐operator cholangioscope (SpyGlass DS) in periampullary diverticulum
Author(s) -
Zimmer Vincent
Publication year - 2019
Publication title -
jgh open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 8
ISSN - 2397-9070
DOI - 10.1002/jgh3.12120
Subject(s) - medicine , scope (computer science) , diverticulum (mollusc) , bile duct , lithotripsy , ampulla of vater , position (finance) , radiology , general surgery , surgery , computer science , carcinoma , finance , economics , programming language
Single‐operator cholangioscopy (SOC) is a valuable diagnostic (e.g. stricture) and therapeutic (e.g. lithotripsy) platform for treatment of complex biliary diseases. Technical success rates, i.e. advancement up to a pre‐defined target lesion, are generally high. Anatomic factors, such as periampullary diverticula, however, may complicate scope insertion, for which a novel troubleshooter technique, designated the “long scope position insertion”, is presented here.