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Spyglass Cholangioscopy


More than one million people worldwide undergo endoscopic retrograde cholangiopancreatography (ERCP) procedures each year to diagnose and treat diseases and conditions of the liver, gallbladder, pancreas and bile ducts. Spyglass cholangioscopy is the direct examination of the bile ducts using a small caliber scope. The Spyglass scope can be inserted into the bile duct or pancreatic duct to enable direct visualization during ERCP. and help obtain biopsy specimens, lead to the diagnosis of abnormalities, and guide stone therapy. This technology provides additional information beyond the standard fluoroscopic (x-ray) examination of the bile ducts and pancreatic ducts normally obtained during ERCP.

The small Spyglass scope (Spyscope) is an attachment to the larger endoscope used for ERCP. The Spyscope contains a lighted camera, an irrigation system to flush debris, and suction to clean out debris. Additionally, the Spyscope has a working channel which accommodates tools such as a laser to break up stones and forceps for pinpoint collection of tissue during biopsies.

Spyglass is a highly valuable tool used as an extension to standard ERCP enabling the physician to diagnose and treat biliary and pancreatic diseases more effectively and efficiently.