Percutaneous Cholangioscopy in the Management of Biliary Disease: Experience in 25 Patients

Abstract

Percutaneous cholangioscopy is a very useful tool in the management of patients with biliary disease. The method can help in diagnosis, in performing complex interventional procedures, and in making or changing therapeutic decisions.

Papillary balloon dilation is not itself a cause of post‐endoscopic retrograde cholangiopancreatography pancreatitis; results of anterograde and retrograde papillary balloon dilation

“…Endoscopic stone removal is the standard treatment for bile duct stones; however, the technique success rate is 85-95%, and an alternative modality is needed for failed cases. Percutaneous biliary intervention is an alternative procedure for removal of bile duct stones, although this method can be associated with morbidity and mortality during creation of a significant percutaneous tract for PTCS-L. 18 Disadvantages of the percutaneous approach include the need to traverse the liver, decreased quality of life because of the presence of external drainage, increased cost, and significant morbidity and mortality. After percutaneous access has been established, PTPBD is simple and easy to perform, and is an effective and a safe technique.…”

Performance and safety of percutaneous cholangioscopy: a systematic review and meta-analysis

“…1 shows the PRISMA flowchart and Table 1 summarizes the main characteristics of the included studies. Only 1 study was prospective, comparing 2 different old-generation cholangioscopes [ 25 ], 1 retrospective compared PerC with double balloon enteroscopy [ 18 ], 5 were retrospective cohorts [ 15 , 16 , 20 , 21 , 23 ] and 7 case series [ 17 , 19 , 22 , 24 , 27 - 29 ]. It is noteworthy that the vast majority of patients (607/682, 89.0%) came from Asian countries.…”

“…Thirteen studies were graded to have good quality and 1 fair. The most common shortcoming was the absence of a detailed description of the statistics used, reflecting the fact that many studies were case series [ 16 , 17 , 19 , 21 - 23 , 26 , 28 ]. One study was graded as fair regarding quality [ 17 ], because of the absence of details regarding the included cases.…”

Focal intrahepatic strictures: a review of diagnosis and management

“…Cholangioscopy can be performed endoscopically 67–69 or percutaneously 5,63,73–75 after a transhepatic tract has been dilated to facilitate passage of the cholangioscope. The sensitivity of percutaneous cholangioscopy for identifying malignant disease ranges from 76% to 82% 63,74,75 .…”