Ayoub Fares, Yang Dennis, Draganov Peter V
Department of Medicine, Hepatology and Nutrition, University of Florida College of Medicine, Gainesville, FL, USA.
Division of Gastroenterology, Hepatology and Nutrition, University of Florida College of Medicine, Gainesville, FL, USA.
Transl Gastroenterol Hepatol. 2018 Oct 29;3:82. doi: 10.21037/tgh.2018.10.08. eCollection 2018.
Cholangioscopy allows direct visualization and subsequent therapeutic maneuvers of the biliary ductal system. With advances in endoscopic and imaging technology, cholangioscopy has become an important modality for the diagnosis of indeterminate biliary strictures and an essential therapeutic tool for difficult to remove biliary stones. Enhanced imaging and operability of the latest generation cholangioscopes have further expanded their clinical applications to include ductal tumor ablation, gallbladder drainage, access to difficult to reach branches of the biliary tree, and biliary foreign body manipulation. In this review, we discuss the technical evolution of cholangioscopy into the digital era and review the clinical evidence supporting its use in the diagnosis and therapy of biliary tract disease.
胆管镜检查可直接观察胆管系统并进行后续治疗操作。随着内镜和成像技术的进步，胆管镜检查已成为诊断不明原因胆管狭窄的重要手段，以及治疗难以取出的胆结石的重要治疗工具。最新一代胆管镜增强的成像和可操作性进一步扩大了其临床应用范围，包括胆管肿瘤消融、胆囊引流、进入胆管树难以到达的分支以及处理胆管异物。在本综述中，我们讨论了胆管镜检查向数字时代的技术演变，并回顾了支持其在胆道疾病诊断和治疗中应用的临床证据。
