The “Bilio-Papillary Z Line”: Proposal for a Novel Quality Indicator of Direct Cholangioscopy

Zimmer, Vincent

doi:10.5946/ce.2018.067

Cited by 1 publication

(3 citation statements)

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“…Secondly, there is a lack of quality indicators to demonstrate the biliary system's complete visualization in real-time during each choledochoscopy. Good advancement of the choledochoscope for complete visualization is often presumed[ 134 ]. Zimmer et al [ 134 ] proposed the visualization of the “bilio-papillary Z line” as a quality indicator.…”

Section: Future Directionsmentioning

confidence: 99%

“…Good advancement of the choledochoscope for complete visualization is often presumed[ 134 ]. Zimmer et al [ 134 ] proposed the visualization of the “bilio-papillary Z line” as a quality indicator. As it represents the distal-most end of the common bile duct at the bilio-papillary junction, visualization of the “bilio-papillary Z line” is thought to confirm visualization of the entire common bile duct.…”

Section: Future Directionsmentioning

confidence: 99%

“…As it represents the distal-most end of the common bile duct at the bilio-papillary junction, visualization of the “bilio-papillary Z line” is thought to confirm visualization of the entire common bile duct. However, this marker is limited due to occasional difficult access and prolapsing papillary mucosa at this junction[ 134 ]. Future studies should evaluate this marker's accuracy and develop other quality indicators easily adaptable in clinical use.…”

Section: Future Directionsmentioning

confidence: 99%

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Choledochoscopy: An update

Lee¹,

Teng²,

Shelat³

2021

WJGE

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Choledochoscopy, or cholangioscopy, is an endoscopic procedure for direct visualization within the biliary tract for diagnostic or therapeutic purposes. Since its conception in 1879, many variations and improvements are made to ensure relevance in diagnosing and managing a range of intrahepatic and extrahepatic biliary pathologies. This ranges from improved visual impression and optical guided biopsies of indeterminate biliary strictures and clinically indistinguishable pathologies to therapeutic uses in stone fragmentation and other ablative therapies. Furthermore, with the evolving understanding of biliary disorders, there are significant innovative ideas and techniques to fill this void, such as nuanced instances of biliary stenting and retrieving migrated ductal stents. With this in mind, we present a review of the current advancements in choledo-choscopy with new supporting evidence that further delineates the role of choledochoscopy in various diagnostic and therapeutic interventions, complications, limitations and put forth areas for further study.

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Section: Future Directionsmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

Section: Future Directionsmentioning

confidence: 99%

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