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Bile duct imaging - ERCP techniques and visuals

ERCP cholangioscopy image reference guide

The intent of this reference guide is to help familiarize physicians with the appearance of bile duct findings. Images of normal bile, cystic and hepatic ducts are presented to illustrate and familiarize the user with the appearance of a healthy, normal ducts and to contrast with the appearance of the biliary tree in a variety of pathologic states. Images featuring various types of benign and malignant conditions are represented in this guide, including strictures, villous lesions, stone disease, and more.

Diagnostic imagery of  mucosal depressions in normal ducts using SpyGlass DS II Direct Visualization System.

Mucosal depressions

Diagnostic imagery of shallow depressions in normal ducts using SpyGlass DS II Direct Visualization System.

Shallow Depressions

Diagnostic imagery of normal vascular pattern in normal ducts using SpyGlass DS II Direct Visualization System.

Normal Vascular Pattern

Diagnostic imagery of  normal villous pattern in normal ducts using SpyGlass DS II Direct Visualization System.

Normal Villous Pattern

Diagnostic imagery of a normal bile duct using SpyGlass DS II Direct Visualization System.

Normal Common Bile Duct

Diagnostic imagery of  normal cystic duct common bile duct junction using SpyGlass DS II Direct Visualization System.

Normal Cystic Duct Common Bile Duct Junction

Diagnostic imagery of normal common hepatic duct using SpyGlass DS II Direct Visualization System.

Normal Common Hepatic Duct

Diagnostic imagery of normal deep left hepatic duct using SpyGlass DS II Direct Visualization System.

Normal Deep Left Hepatic Duct

Diagnostic imagery of normal deep right hepatic duct using SpyGlass DS II Direct Visualization System.

Normal Deep Right Hepatic Duct

Diagnostic imagery of normal left left hepatic duct hilum using SpyGlass DS II Direct Visualization System.

Normal Left Hepatic Duct Hilum

Diagnostic imagery of normal right hepatic duct using SpyGlass DS II Direct Visualization System.

Normal Mucosa

Diagnostic imagery of normal papillary area using SpyGlass DS II Direct Visualization System.

Normal Papillary Area

Diagnostic imagery of normal right hepatic duct hilum using SpyGlass DS II Direct Visualization System.

Normal Right Hepatic Duct Hilum

Diagnostic imagery of normal right hepatic duct using SpyGlass DS II Direct Visualization System.

Normal Right Hepatic Duct

Diagnostic imagery of homium laser lithotripsy using SpyGlass DS II Direct Visualization System.

Normal Suprapapillary

Diagnostic imagery of cystic duct stone using SpyGlass DS II Direct Visualization System.

Cystic Duct Stone

Diagnostic imagery of intrahepatic stone using SpyGlass DS II Direct Visualization System.

Intrahepatic Stone

Diagnostic imagery of homium laser lithotripsy using SpyGlass DS II Direct Visualization System.

Homium Laser Lithotripsy

Diagnostic imagery of villiform formations using SpyGlass DS II Direct Visualization System.

Villiform Formation

Diagnostic imagery of villous lesion using SpyGlass DS II Direct Visualization System.

Villous Lession

Diagnostic imagery of exophytic vascular tissue using SpyGlass DS II Direct Visualization System.

Exophytic Vascular Tissue

Diagnostic imagery of cholangiocarcinoma extension using SpyGlass DS II Direct Visualization System.

Cholangiocarcinoma Extension

Diagnostic imagery of cholangiocarcinoma STX using SpyGlass DS II Direct Visualization System.

Cholangiocarcinoma STX

Diagnostic imagery containing characteristics of a malignant stricture using SpyGlass DS II Direct Visualization System.

Characteristics of a Malignant Stricture

Diagnostic imagery of increased vascularity using SpyGlass DS II Direct Visualization System.

Increased Vascularity

Diagnostic imagery of vascular lakes using SpyGlass DS II Direct Visualization System.

Vascular Lakes

Diagnostic imagery of filling defects showing surgical staples using SpyGlass DS II Direct Visualization System.

Filling Defects Showing Surgical Staples

Diagnostic imagery of filling defects showing surgical staples #2 using SpyGlass DS II Direct Visualization System.

Filling Defects Showing Surgical Staples II

Diagnostic imagery of desquamated epithelium using SpyGlass DS II Direct Visualization System.

Desquamated Epithelium

Diagnostic imagery of desquamated epithelium #2 using SpyGlass DS II Direct Visualization System.

Desquamated Epithelium II

Diagnostic imagery of stone debris using SpyGlass DS II Direct Visualization System.

Stone Debris

Diagnostic imagery of biliary anastamosis over four years in liver transplantation using SpyGlass DS II Direct Visualization System.

Biliary Anastamosis Four Years

Diagnostic imagery of biliary anastamosis over six years in liver transplantation using SpyGlass DS II Direct Visualization System.

Biliary Anastamosis Six Months

Diagnostic imagery of biliary anastamosis over 18 months resulting into intrahepatic stones in liver transplantation using SpyGlass DS II Direct Visualization System.

Biliary Anastamosis 18 Months Intrahepatic Stones

Diagnostic imagery of biliary anastamosis over 2 years in liver transplantation using SpyGlass DS II Direct Visualization System.

Biliary Anastamosis Two Years

Diagnostic imagery of native cystic duct biliary anastamosis over 4 years in liver transplantation using SpyGlass DS II Direct Visualization System.

Native Cystic Duct Biliary Anastamosis Four Years

Diagnostic imagery of epithelial bridge using SpyGlass DS II Direct Visualization System.

Epithelial Bridge

Diagnostic imagery of epithelial bridge #2 using SpyGlass DS II Direct Visualization System.

Epithelial Bridge II

Diagnostic imagery of portal vein thrombosis portal cholangiopathy using SpyGlass DS II Direct Visualization System.

Portal Vein Thrombosis Portal Cholangiopathy

Diagnostic imagery of portal vein thrombosis portal cholangiopathy #2 using SpyGlass DS II Direct Visualization System.

Portal Vein Thrombosis Portal Cholangiopathy II

Diagnostic imagery of portal vein thrombosis portal cholangiopathy #3 using SpyGlass DS II Direct Visualization System.

Portal Vein Thrombosis Portal Cholangiopathy III

Diagnostic imagery of portal vein thrombosis portal cholangiopathy #4 using SpyGlass DS II Direct Visualization System.

Portal Vein Thrombosis Portal Cholangiopathy IV

Diagnostic imagery of hemobilia using SpyGlass DS II Direct Visualization System.

Hemobilia

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Questions about how cholangioscopy can help in your next complex stone case?

Indications, Safety, and Warnings for SpyScope™ DS II

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device or at www.IFU-BSCI.com. Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries. This material not intended for use in France.