Diagnosis and treatment of virusungolithiasis using the spyglassdsii digital cholangioscope

In recent years, there has been an increase in various clinical and morphological forms of chronic pancreatitis with the peculiarities of its clinical manifestations. The most difficult in diagnosis, treatment and rehabilitation are patients with virsungolithiasis, in which concretions - virsungolites are formed in the ductal system of the pancreas due to a violation of the outflow of its secretions. Endoscopic retrograde cholangiopancreaticography (ERCP) is one of the «gold» standards in the diagnosis and treatment of pathological conditions of the pancreatobiliary system. We used a direct pancreatic duct imaging system using the SpyGlassDSIIendosystem from BostonScientific, USA, which significantly complemented the diagnostic and endotherapeutic capabilities of ERCP. The SpyGlassDSII system is successfully used for visual identification of various intracurrent neoplasms, assessment of pancreatic strictures with the possibility of biopsy, for visualization and removal of concretions in its ducts using methods of their destruction, such as laser and/or electrohydraulic lithotripsy. The advantages of performing virsungoscopy during 11 diagnostic procedures using this system are evaluated. The use of the direct imaging system «SpyGlassDSII» significantly expanded the possibilities of ERCP, which was reflected in a smoother course of the postmanipulation period, a decrease in the duration of hospitalization.

endoscopic intraluminal surgery, endoscopic retrograde cholangiopancreaticography, virsungolithiasis, cholangioscope, SpyGlassDSII

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