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The choledochoscopy, endoscopic technique that allows faster and effective diagnosis, and is offered in HMS

27-01-2012

Endoscopy Unit HMS has added to its portfolio of services choledochoscopy, an endoscopic technique that allows visualization of the bile and pancreatic intraluminal via Live View, which so far not made possible any indirect methods used to diagnose injuries biliary-pancreatic, such as endoscopic retrograde cholangiography, cholangio resonance and, in the last decade, endoscopic ultrasound.

Thus, the circumferential choledochoscopy allows full visualization of light bile duct through the papilla for diagnostic and therapeutic purposes and sampling for histology biopsy under direct visualization of the bile ducts.

Clinical indications for this technique include diagnosis of cholangiocarcinoma, which generally have a poor prognosis, not possible to differentiate in the early stages of the disease between benign and malignant radiological methods such as CT and cholangio pathology, and allowing in such cases choledochoscopy display the tissue and obtaining biopsies in real time and with direct vision. Similarly, this diagnostic technique is useful in managing choledocholithiasis common disease that involves a risk of developing pancreatitis, jaundice and cholangitis, and wherein the choledochoscopy allows lithiasic treating injuries that can not be extracted by conventional methods as cholangiopancreatography Endoscopic retrograde (ERCP), and the introduction of lithotripsy probe that destroys the giant stones that could not be removed during ERCP.

The range of indications is completed with the diagnosis of indeterminate strictures and addressing intraductal pancreatic mucinous neoplasms, in which the spy glass allows visualization of the pancreatic duct and obtaining tissue to determine the risk of malignancy, or in some cases, confirm the presence of malignant cells.

Complete service portfolio

The incorporation of this technique to the entire unit and the portfolio of HMS, which has a high volume of biliopancreatic pathology -the Department of General and Digestive Surgery, directed by Dr. Emilio Vicente and Yolanda Quijano advanced biliary-pancreatic surgery offer - Comprehensive Cancer Center and Clara Campal (CIOCC), with an equally nourished activity in pancreatic and biliary cancer.

"We can offer all current techniques in diagnostic radiology of biliopancreatic, cholangio and CT reconstruction with vascular diseases; We carry bile duct by endoscopic retrograde cholangiopancreatography, endoscopic ultrasound diagnostic and therapeutic; and now, with the choledochoscopy go beyond conventional testing: faster and more effective diagnosis, avoiding possible prolonged hospital stays and repetition of conventional diagnostic tests, "he adds.

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