Peroral cholangioscopy: past, present and future
Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the evaluation of biliary strictures and the management of bile duct stones. However, standard ERCP techniques sometimes fail for both indications. In such situations, peroral cholangioscopy (POCS), which allows direct vi...
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Korean Society of Gastrointestinal Endoscopy
2025-05-01
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| Series: | Clinical Endoscopy |
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| Online Access: | http://e-ce.org/upload/pdf/ce-2024-306.pdf |
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| author | Yuki Tanisaka Robert Hawes |
| author_facet | Yuki Tanisaka Robert Hawes |
| author_sort | Yuki Tanisaka |
| collection | DOAJ |
| description | Endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the evaluation of biliary strictures and the management of bile duct stones. However, standard ERCP techniques sometimes fail for both indications. In such situations, peroral cholangioscopy (POCS), which allows direct visualization of the bile duct, can play a significant role in diagnosis and treatment. Direct visualization using POCS can help differentiate between malignant and benign conditions and is more accurate in defining the extent of cholangiocarcinoma. Furthermore, POCS enables visually guided biopsies. Certain types of difficult bile duct stones, such as impacted and intrahepatic stones, require POCS for visually guided lithotripsy. Recent advancements in POCS will broaden its applicability and improve its diagnostic utility. In this review, we provide perspectives on the past, present, and future of POCS. |
| format | Article |
| id | doaj-art-6f0f71c9da1547d69ef45db15e2d84d0 |
| institution | Matheson Library |
| issn | 2234-2400 2234-2443 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj-art-6f0f71c9da1547d69ef45db15e2d84d02025-08-01T07:15:10ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432025-05-0158336036910.5946/ce.2024.3067991Peroral cholangioscopy: past, present and futureYuki Tanisaka0Robert Hawes1 Department of Gastroenterology, Saitama Medical University International Medical Center, Hidaka, Japan Orlando Health, Digestive Health Institute, Orlando, FL, USAEndoscopic retrograde cholangiopancreatography (ERCP) is the gold standard for the evaluation of biliary strictures and the management of bile duct stones. However, standard ERCP techniques sometimes fail for both indications. In such situations, peroral cholangioscopy (POCS), which allows direct visualization of the bile duct, can play a significant role in diagnosis and treatment. Direct visualization using POCS can help differentiate between malignant and benign conditions and is more accurate in defining the extent of cholangiocarcinoma. Furthermore, POCS enables visually guided biopsies. Certain types of difficult bile duct stones, such as impacted and intrahepatic stones, require POCS for visually guided lithotripsy. Recent advancements in POCS will broaden its applicability and improve its diagnostic utility. In this review, we provide perspectives on the past, present, and future of POCS.http://e-ce.org/upload/pdf/ce-2024-306.pdfartificial intelligencebile duct stonebile ductscholangioscopyendoscopic retrograde cholangiopancreatography |
| spellingShingle | Yuki Tanisaka Robert Hawes Peroral cholangioscopy: past, present and future Clinical Endoscopy artificial intelligence bile duct stone bile ducts cholangioscopy endoscopic retrograde cholangiopancreatography |
| title | Peroral cholangioscopy: past, present and future |
| title_full | Peroral cholangioscopy: past, present and future |
| title_fullStr | Peroral cholangioscopy: past, present and future |
| title_full_unstemmed | Peroral cholangioscopy: past, present and future |
| title_short | Peroral cholangioscopy: past, present and future |
| title_sort | peroral cholangioscopy past present and future |
| topic | artificial intelligence bile duct stone bile ducts cholangioscopy endoscopic retrograde cholangiopancreatography |
| url | http://e-ce.org/upload/pdf/ce-2024-306.pdf |
| work_keys_str_mv | AT yukitanisaka peroralcholangioscopypastpresentandfuture AT roberthawes peroralcholangioscopypastpresentandfuture |