Скачать или смотреть A dual-operator approach with a digital cholangioscope during colonoscope-assisted ERCP

Reference: https://www.videogie.org/article/S246...
The dual-operator technique utilizing a digital cholangioscope in conjunction with a colonoscope-assisted endoscopic retrograde cholangiopancreatography (ERCP) presents a novel approach for managing patients with altered anatomical structures. This method is particularly beneficial for individuals who have undergone previous surgical interventions that have modified their biliary anatomy, making traditional ERCP challenging. By employing a dual-operator strategy, two skilled endoscopists can collaborate effectively, enhancing the precision and safety of the procedure. The digital cholangioscope allows for high-resolution imaging of the biliary tree, facilitating the identification of strictures, stones, or other abnormalities that may not be easily visualized with standard techniques.

In this innovative approach, the colonoscope serves as a conduit for the cholangioscope, enabling access to the biliary system through the altered anatomy. The colonoscope's flexibility and maneuverability are advantageous in navigating complex anatomical variations, which can often pose significant challenges during conventional ERCP. The dual-operator technique not only improves the visualization of the biliary structures but also allows for simultaneous interventions, such as balloon dilation or stone extraction, thereby increasing the likelihood of successful outcomes. This collaborative effort between the two operators ensures that the procedure is conducted with a high level of expertise and efficiency, ultimately benefiting the patient.

The application of this dual-operator technique in patients with altered anatomy underscores the importance of adaptability and innovation in endoscopic procedures. As the field of gastroenterology continues to evolve, the integration of advanced technologies, such as digital cholangioscopy, alongside collaborative techniques, will likely enhance the management of complex biliary conditions. This approach not only addresses the immediate challenges posed by altered anatomy but also sets a precedent for future advancements in endoscopic interventions, paving the way for improved patient care and outcomes in the realm of biliary disease management.