Spyglass Examination of the Biliary Tract

Spyglass cholangioscopy is offered at Revere Health to diagnose and treat conditions of the biliary tract. This advanced procedure utilizes a miniature camera and flexible catheter to visually examine the bile and pancreatic ducts, providing detailed images that traditional endoscopy cannot achieve. Spyglass is especially useful for detecting and treating bile duct stones, strictures, or suspicious masses that may indicate cancer.

What is Spyglass Cholangioscopy?
Spyglass cholangioscopy is a type of endoscopic retrograde cholangiopancreatography (ERCP) procedure, but instead of using a large probe, it utilizes a small catheter equipped with a fiber-optic camera. This allows your provider to see inside the ducts, obtain precise visual information, and even perform targeted biopsies or stone removal in real time. The procedure is minimally invasive and offers higher sensitivity for diagnosing biliary conditions compared to traditional imaging techniques.

When is Spyglass Used?
Spyglass is most commonly used in the following situations:

Bile Duct Stones: To identify and remove small stones that can obstruct the bile ducts.
Strictures and Blockages: To evaluate areas of narrowing that may be caused by scarring, inflammation, or tumors.
Unexplained Biliary Symptoms: To explore the cause of persistent symptoms like jaundice or unexplained abdominal pain.
Cancer Surveillance: For assessing nodules or suspicious lesions within the bile ducts and for obtaining biopsy samples when malignancy is suspected.
Benefits of Spyglass Cholangioscopy
The Spyglass system offers several advantages over conventional methods:

Improved Visualization: Provides a clearer and more detailed view of the biliary and pancreatic ducts, enhancing the accuracy of diagnoses.
Targeted Biopsies: Allows for precise tissue sampling, reducing the risk of false-negative results.
Minimally Invasive Treatment: Enables immediate treatment of conditions like bile duct stones without the need for additional surgeries.
What to Expect
During the procedure, a thin catheter is guided through an endoscope to access the bile ducts. Patients are typically sedated for comfort. The camera transmits real-time images, allowing the provider to identify and treat abnormalities immediately. Recovery is generally quick, with most patients resuming normal activities within a day.

If you have been experiencing symptoms such as unexplained jaundice or have been advised to undergo an ERCP, contact Revere Health to learn more about whether Spyglass cholangioscopy is the right option for you.