Remnant Biliary Papillomatosis treated with Direct Per-Oral Cholangioscopic Polypectomy

A 53-year old male was diagnosed with biliary papillomatosis and was treated with hemi-hepatectomy and Roux-en-Y reconstruction. On follow-up with Spyglass cholangioscopy one year later, residual or recurrent papillomatosis was found in the remnant distal bile duct. Histology showed low grade dysplasia. During subsequent Direct Per-Oral Cholangioscopy (DPOC), this residual tissue was treated with snare polypectomy and Argon Plasma Coagulation. Histology showed high grade dysplasia. DPOC cholangioscopic resection of remnant biliary papillomatosis therefore may facilitate histologic staging, but radicality is yet to be determined.

Citation: Inderson A, van Hooft JE. OP54V REMNANT BILIARY PAPILLOMATOSIS TREATED WITH DIRECT PER-ORAL CHOLANGIOSCOPIC POLYPECTOMY. Endoscopy 2021; 53: S24.

Publication History

Article published online:
19 March 2021