Monga Amitabh, Ramchandani Mohan, Reddy D Nageshwar
Asian Institute of Gastroenterology, Hyderabad, India.
J Interv Gastroenterol. 2011 Apr;1(2):70-77. doi: 10.4161/jig.1.2.15352.
Direct endoscopic views of bile duct have been described in literature since the 1970s. Since then rapid strides have been made with the advent of technologically advanced systems with better image quality and maneuverability. The single operator semi-disposable per-oral cholangioscope and other novel methods such as the cholangioscopy access balloon are likely to revolutionize this field. Even though cholangioscopy is currently used primarily for characterization of indeterminate strictures and management of large bile duct stones, the diagnostic and therapeutic indications are likely to expand in future. The following is an overview of the currently available per-oral cholangioscopy equipments, indications for use and future directions.
自20世纪70年代以来，文献中已有关于胆管的直接内镜观察的描述。从那时起，随着技术先进、图像质量和可操作性更好的系统的出现，取得了迅速的进展。单人操作半一次性经口胆管镜及其他新方法，如胆管镜检查用进入球囊，可能会彻底改变这一领域。尽管目前胆管镜检查主要用于不确定狭窄的特征描述和大胆管结石的处理，但诊断和治疗适应症未来可能会扩大。以下是目前可用的经口胆管镜设备、使用适应症及未来发展方向的概述。
