Biliary Disease States
T/F: Stones can be found in pancreatic duct.
True
Cytology brushing, biopsies and cholangiopancreatoscopy are __________ procedures.
Diagnostic
T/F: The therapeutic working channel on the SpyGlass catheter is 1.2mm.
True
The new SpyBite biopsy forceps can acquire _____ more tissue than legacy forceps.
2x
Cholangiopancreastoscopy allows for the ______ endoscopic visualization of the pancreaticobiliary system
direct
What is pancreatitis?
Inflammation of the pancreas
Balloons, baskets and EHL are used to treat _____.
Biliary stones
Is the latest SpyGlass iteration the 1st, 2nd or 3rd?
3rd
What is the stone clearance rate of SpyGlass?
95%
What 2 therapeutic categories does cholangiopancreatoscopy treat?
Stones
Strictures
Name 1 common malignancy in the biliary anatomy.
Cholangiocarcinoma
Adenocarcinoma
Klatskins tumor
What other imaging options are there for GI?
CT, EUS, MRCP, MRI
What is EHL used for?
Fragmentation of large stones
What is one benefit of SpyGlass vs. Cytology brushing?
3D
Direct visualization
Higher sensitivity (76 vs. 6%)
Biliary stones are either made of _____ or _____
What criteria makes for a 'difficult' stone?
10-15+ mm in size
Multiple stones
Location of stones (intrahepatic/cystic/proximal to stricture)
During an ERCP, a 2D image called ______ is used in tandem to visualize the biliary tree.
Fluoroscopy
Name 2 SpyGlass specific accessories.
SpyBite forceps
Spy Snare
Spy Basket
EHL probe
RFA ablation catheter
What is SpyGlass VISUAL sensitivity?
90%
Cholelithiasis
Choledocholithiasis
Cholecystitis
Cholangitis
What is the difference between cholelithiasis and choledocholithiasis?
Cholelithiasis: stones in the gallbladder
Choledocholithiasis: stones in the bile duct
Although ERCPs have a high success rate and low complication rate, the most common complication is ________.
Post ERCP pancreatitis
What was one challenge of the original mother-daughter cholangioscopes?
2 operators
Limited steerability
Poor irrigation
List 2 positive patient impact points for SpyGlass.
Faster, more definitive cancer diagnosis
Shorter procedure times
Reduction in need for addition procedures
Reduction in costs
The first use of cholangioscopy was reported in:
A. 1960s
B. 1970s
C. 1980s
D. 1990s
B