Managing indeterminate strictures with SpyGlass™ DS

Dr. Jennifer Phan 

Assistant Professor of Clinical Medicine

Keck School of Medicine

University of Southern California (USC)

Listen to Dr. Phan share why she chooses to start with Cholangioscopy over cytology brushing to efficiently diagnose indeterminate strictures.

Dr. Mankanwal Sachdev

Gastroenterology

Banner Desert Medical Center, Arizona

A patient underwent ERCP with cholangioscopy for biliary stricture evaluation. A subtle abnormality was found and multiple tissue samples were collected with Spybite forceps.

Dr. Margaret Geraldine Keane

Assistant Professor of Medicine

Johns Hopkins Medicine

Read this case study to see how Dr. Keane used cholangioscopy with pathology to diagnose cholangiocarcinoma at an early stage.

Dr. Srinadh Komanduri

Interventional Gastroenterologist, Northwestern Medical Group

Associate Chief of Gastroenterology and Hepatology 

Director of Endoscopy, Northwestern Feinberg School of Medicine

This video shows how the cholangioscope’s detailed imaging and direct access helped Dr. Komanduri to efficiently visualize a stricture and capture a biopsy, significantly changing the treatment pathway and avoiding a second procedure.

Dr. Abdul Aziz Aadam

Gastroenterologist 

Northwestern Medical Group 

Chicago, IL

See this case review where a malignant stricture caused significant bile duct dilation. After an unsuccessful ERCP, cholangioscopy allowed for stent placement and biopsy.

Dr. Pushpak Taunk

Associate Professor of Medicine Division of Digestive Diseases and Nutrition 

University of South Florida Morsani College of Medicine 

Tampa General Hospital

Dr. Taunk shares the case of a 64-year-old patient with IgG4 sclerosing cholangitis, a rare autoimmune disorder. Through direct visualization, Dr. Taunk identified the irregular biliary mucosa and then used SpyBite™ Max Biopsy Forceps to obtain biopsies of the biliary stricture and irregularities — which led to the rare diagnosis.