Digital Evaluation of the Biliopancreatic Tree: Cases From the Pediatric ERCP Database Initiative Consortium

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Excerpt

Intraductal endoscopy was introduced by Kawai et al (1) in the 1970s. Siddique et al (2) reported use with mother-daughter cholangioscopy including 1 pediatric patient. Challenges with the early models included cost, required 2 trained users, and poor steerability. Single-operator cholangioscopes were introduced 10 years ago and pediatric use has been reported (3). Common indications for cholangioscopy and pancreatoscopy include evaluation of strictures, stone removal, tumor diagnosis and staging, selective ductal cannulation, and evaluation of abnormal imaging (Fig. 1).
Biliopancreatic endoscopy with a single-operator endoscope can be used in a range of pediatric disorders and may facilitate both diagnostic and therapeutic maneuvers. This includes endoscopic preoperative staging of malignancy, lithotripsy, and stricture management. Modifications to this technology have improved visualization and usage in pediatric patients.
This video demonstrates several clinical scenarios in which intraductal endoscopy can be used in both the biliary and pancreatic ducts (Supplemental Digital Content, Video, http://links.lww.com/MPG/A901).
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