Endoscopy 2015; 47(07): 654-657
DOI: 10.1055/s-0034-1391483
Case series
© Georg Thieme Verlag KG Stuttgart · New York

Cone-beam computed tomography – adding a new dimension to ERCP

Jochen Weigt
1   Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University of Magdeburg, Germany
,
Maciej Pech
2   Department of Radiology and Nuclear Medicine, 2nd Radiology Department, University of Gdansk, Poland
,
Arne Kandulski
1   Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University of Magdeburg, Germany
,
Peter Malfertheiner
1   Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University of Magdeburg, Germany
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Publikationsverlauf

submitted 11. November 2014

accepted after revision 31. Dezember 2014

Publikationsdatum:
12. Februar 2015 (online)

Six patients with biliary duct pathologies were investigated with three-dimensional endoscopic retrograde cholangiopancreatography (3D-ERCP). The technique of 3D-ERCP consists of c-arm rotation using a flat detector c-arm to acquire a complete set of images for 3 D visualization of the biliary system. Our case series demonstrates a high level of accuracy with regard to the diagnosis of stenosis and biliary leakage. In two patients the diagnosis obtained from conventional ERCP changed significantly after 3D-ERCP. From these early observations we conclude that 3D-ERCP enhances the diagnostic performance of ERCP in a subset of patients with biliary tract disease.

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