E.R.C.P. with its innovations
Industrial revolutions e.g. light sources, processors, variable light waves, optical and digital magnifications, wider or many channels, bending system, picture splitting, printing machines, diathermy facilities, ….etc.
Industrial revolutions in accessories e.g. disposables, suturing equipments, sewing devices, plicators, …etc
Cholangioscopy and its applications
*- Mother and babey scope techniques and associated applications
*- Spyglass techniques and its role
*- Magnifying endoscopy
*- Ultra-magnification endoscopy
*- Chromo endoscopy
*- Enteroscopy with its applications
*- Echo endoscopy and its applications
*- Capsule endoscopy and its applications
*- The era of NOTES, and assosciated revolutions
Echo endoscopy and its era:
- Sonar assessment of the gut wall and surrounding structures
- Sonar assessment of gut swelling and biopsy of safe area
- Sonar drain of collections
- Sonar drain of abdominal abscesses
- Sonar guided cytology and biopsy of dangerous sites
- Sonar guided PEG, Jejunostomy, and colostomy
- Sonar assisted biliary access (Rendez-vous tech. ERCP)
- Sonar guided bil. Stenting
- Sonar guided brachytherapy needle or coil implantation
Spy Glass Techniques:
The SpyGlass Direct Visualization System is the latest advancement in intraductal visualization during a cholangioscopy. The SpyGlass System is the first single operator, intraductal system that allows for not only optical viewing, but also optically-guided biopsies. The SpyGlass System is designed to allow the physician the ability to directly see the site of interest, whether it be a stricture, stones or areas of concern, vs. the traditional non-direct visualization techniques such as x-ray
- The SpyScope Access & Delivery Catheter is a single-use, single-operator controlled, 10 Fr diameter, 230 cm length device designed to provide a pathway into the biliary anatomy for diagnostic and therapeutic devices.
Four lumen catheter includes:
- One optic channel
- One 1.2 mm accessory channel
- Two independent irrigation channels
- Tip of catheter has 4-way steering capabilities to help with navigation and access into all 4 biliary quadrants
Special "variable stiffness" colonoscopies are expensive and have not been unequivocally shown to be useful in preventing looping.
The Shapelock could offer an ideal over-tube that is flexible enough to safely and easily negotiate bends in the colon but when needed be rigid enough to prevent looping with just a snap of its handle.
It also has potential other applications including enteroscopy, transgastric endoscopy and access to difficult regions of the upper gastrointestinal tract.