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- W2913757965 abstract "Pancreatoscopy and cholangioscopy can be achieved perorally by several methods. The early “mother/baby” systems were effective but cumbersome and fragile, and are being superseded with small visual catheters passed through standard endoscopes, and even by passing small scopes directly into the ducts (after sphincterotomy). Techniques are still evolving. Whilst other modalities (CT, magnetic resonance cholangiopancreatography (MRCP), EUS) have largely taken over the diagnostic role in biliary/pancreatic diseases, there are circumstances where direct visualization of the ductal systems is of clinical value. Examples include unusual filling defects, indeterminate strictures, and assessing the extent of IPMN in the pancreas. However, the main roles for cholangioscopy and pancreatography are therapeutic. They can facilitate direct electrohydraulic or laser lithotripsy, and be the vehicles for PDT RFA, and brachytherapy. The methods are often technically challenging, and not without potential hazard." @default.
- W2913757965 created "2019-02-21" @default.
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- W2913757965 date "2014-12-19" @default.
- W2913757965 modified "2023-10-17" @default.
- W2913757965 title "Intraductal therapies" @default.
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- W2913757965 doi "https://doi.org/10.1002/9781118769409.ch9" @default.
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