Curbside Consultation of the Pancreas: 49 Clinical Questions

Scott Tenner, MD, MPH; Alphonso Brown, MD, MS Clin Epi; Frank Gress, MD

Question 38: What Is The Role Of Cholangiopancreatoscopy In Pancreaticobiliary Disease? (continued)

Greg Guthrie, MD; Young Lee, MD

Cholangioscopy refers to the insertion of an endoscope into the biliary system with subsequent direct visualization of the bile ducts. It has existed for many years and in many different forms—percutaneously by radiologists, intraoperatively by surgeons, and endoscopically as an extension of endoscopic retrograde cholangiopancreatography (ERCP). This later endoscopic form is often referred to as “peroral” approach and is accomplished via retrograde insertion of miniature endoscopes through the ampulla of Vater. The peroral approach will be the main focus of the remainder…