Clin Endosc.  2018 Nov;51(6):541-546. 10.5946/ce.2018.203.

Role of Image-Enhanced Endoscopy in Pancreatobiliary Diseases

• Lee YN
• Moon JH
• Choi HJ

• KMID: 2430395
• DOI: http://doi.org/10.5946/ce.2018.203

Abstract

Recent advances in cholangiopancreatoscopy technology permit image-enhanced endoscopy (IEE) for pancreatobiliary diseases. There are limitations in endoscopy performance and in the study of the clinical role of IEE in bile duct or pancreatic duct diseases. However, currently available IEEs during cholangiopancreatoscopy including traditional dye-aided chromoendoscopy, autofluorescence imaging, narrow-band imaging, and i-Scan have been evaluated and reported previously. Although the clinical role of IEE in pancreatobiliary diseases should be verified in future studies, IEE is a useful promising tool in the evaluation of bile duct or pancreatic duct mucosal lesions.

Keyword

Biliary tract diseases; Endoscopy; Digestive system; Narrow-band imaging

MeSH Terms

Bile Ducts
Biliary Tract Diseases
Digestive System
Endoscopy*
Optical Imaging
Pancreatic Ducts

Figure

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  Fig. 1. Peroral cholangioscopy with narrow-band imaging (NBI). White light image (A) and NBI (B) of the normal bile duct. White light image (C and E) and NBI (D and F) of intraductal papillary neoplasm in the bile duct.

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  Fig. 2. Peroral cholangioscopy with narrow-band imaging (NBI). Bile appears as red-colored fluid in NBI.

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  Fig. 3. Peroral cholangioscopy with i-Scan. White light image (A) and i-Scan image (B) of normal bile duct at the hilar bifurcation. White light image (C) and i-Scan image (D) of an inflammatory polyp. White light image (E) and i-Scan image (F) of an intraductal papillary neoplasm in the bile duct.

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  Fig. 4. Twin mode of i-Scan.

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