Gandini G, Cesarani F, Juliani E, Regge D, Bonardi L, Recchia S, Verme G
Istituto di Radiologia dell'Università di Torino.
Endoscopy. 1988 May;20(3):114-7. doi: 10.1055/s-2007-1018151.
The authors describe their initial experience with a 2.8 mm (8.5F) fiberscope. The instrument, used to refine interventional radiology maneuvers of the intra- and extra-hepatic bile ducts, caused no additional discomfort to the 18 patients treated. The fiberscope permitted differentiation between different causes of biliary stenosis in the few cases where doubt persisted after percutaneous cholangiography. Brushing was also performed wherever necessary. The color, and thus the composition, of bile duct stones could also be determined. This has helped us to plan the therapy with methyl-tert-butyl-ether (MTBE) in patients with cholesterol stones. Compared with traditional fiberscopes (diameter of 5mm or more) the new instrument is easier to use, and allows more peripheral ducts to be reached, but is expensive and has a smaller field of view and fewer possibilities for therapeutic applications.
作者描述了他们使用2.8毫米(8.5F)纤维内镜的初步经验。该仪器用于优化肝内和肝外胆管的介入放射学操作,在接受治疗的18例患者中未引起额外不适。在经皮胆管造影后仍存在疑问的少数病例中,纤维内镜有助于区分胆管狭窄的不同原因。必要时还进行了刷检。还可以确定胆管结石的颜色及成分。这有助于我们为胆固醇结石患者制定甲基叔丁基醚(MTBE)治疗方案。与传统纤维内镜(直径5毫米或更大)相比,这种新仪器使用更方便,能够到达更多外周胆管,但价格昂贵,视野较小,治疗应用的可能性也较少。