Zimmer Vincent
Department of Medicine Marienhausklinik St. Josef Kohlhof Neunkirchen Germany.
Department of Medicine II Saarland University Medical Center, Saarland University Homburg Germany.
JGH Open. 2018 Dec 12;3(1):94-95. doi: 10.1002/jgh3.12120. eCollection 2019 Feb.
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.
单人操作胆管镜检查(SOC)是治疗复杂胆道疾病的一种有价值的诊断(如狭窄)和治疗(如碎石术)平台。技术成功率,即推进至预定义目标病变的成功率,通常较高。然而,诸如壶腹周围憩室等解剖因素可能会使内镜插入复杂化,本文介绍了一种新的故障排除技术,称为“长镜位插入”。