Endoscopy 2021; 53(S 01): S214
DOI: 10.1055/s-0041-1724851
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Role of Cholangioscopy in The Longitudinal Spreading Assessment of Biliar Intraepithelial Neoplasia

N Torres Monclús
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
E Pijoan Comas
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
M Alburquerque
2   Clínica Girona, Girona, Spain
,
A Vargas Garcia
2   Clínica Girona, Girona, Spain
,
G Torres Vicente
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
I Miguel Salas
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
DC Bayas Pástor
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
N Zaragoza Velasco
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
JM Reñé Espinet
1   University Hospital Arnau de Vilanova, Lleida, Spain
,
F González-Huix Lladó
2   Clínica Girona, Girona, Spain
,
SEED Working Group on ERCP › Author Affiliations
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    A 67-year-old man underwent ERCP for choledocolithiasis and dilated CBD-10mm. A 6-7mm round defect in middle CBD, fixed and unremovable with balloon catheter, was found. Sphincterotomy and extraction of biliary sludge and adenomatous like tissue sphacelus were performed. Brush-citology and intraductal-forceps-biopsy reported intraepithelial adenocarcinoma with microinfiltration.

    A single-operator-digital-cholangioscopy (SpyGlass DS-II) showed affected CBD from 1cm into duodenal major-papilla until hepatic-bile-duct confluence. Complete CBD circumference was affected, observing adenomatous like mucosa, fibrosis, irregular vessels, friability and a nodular area with a 3mm diameter stricture, that was overcome with cholangioscope pressure. Due to this accurate diagnosis, a successful curative resection was performed.

    Citation Torres Monclús N, Pijoan Comas E, Alburquerque M et al. eP360V ROLE OF CHOLANGIOSCOPY IN THE LONGITUDINAL SPREADING ASSESSMENT OF BILIAR INTRAEPITHELIAL NEOPLASIA. Endoscopy 2021; 53: S214.


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    Publication History

    Article published online:
    19 March 2021

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