Cholangioscopy (SpyGlass®)

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SpyGlass cholangioscopy is a noninvasive endoscopic procedure that can be used for visualization, diagnostic evaluation, and therapeutic intervention of bile duct abnormalities. In the past, cholangioscopy was very fragile, had limited maneuverability, and required two operators. By overcoming these limitations, the SpyGlass system is considered a breakthrough in the field of endoscopic technology. It can be used in the evaluation and management of diseases such as:

  • Biliary system cancer
  • Bile duct cancer
  • Gallbladder cancer
  • Gallstones
  • Primary sclerosing cholangitis
  • Biliary papillomatosis

For more information on this endoscopic procedure, connect with your nearest GI Alliance location and schedule a consultation to talk to a gastroenterologist.

The SpyGlass system can be used by a single operator and has increased maneuverability allowing easy visualization of the biliary tree, extraction of tissue for biopsy, and treatment of bile stones, strictures, or other pathology. It has separate channels for the use of instruments and irrigation. The procedure requires decreased fluoroscopy time which results in decreased radiation exposure. The SpyGlass system can help to detect GI issues. To schedule an appointment at GI Alliance for this procedure, contact a GI specialist.

Is the cholangioscopy system safe?

The SpyGlass cholangioscopy system is very safe compared to the earlier types of cholangioscopy, however, there remains a minimal risk of complications which include cholangitis, pancreatitis, bacteremia, abdominal pain, and nausea. To learn more about the procedure in detail contact the GI specialists at GI Alliance today.

You will generally have to lie in the prone position for the procedure. The SpyGlass access and delivery catheter will be attached to a duodenoscope which will be inserted through your mouth down into the stomach until it reaches the duodenum where the opening of the pancreatic and biliary ducts are visualized. The SpyGlass catheter will then be advanced into the common bile duct under fluoroscopic guidance to visualize the biliary tree and perform the diagnostic or therapeutic procedure as required.

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At GI Alliance, we are dedicated to providing the most advanced care to improve your gastrointestinal health and general wellness. For additional information on the cholangioscopy procedure, please schedule an appointment with a gastroenterologist at GI Alliance. Our team is ready to help you find the solutions you need for a better quality of living.

I have seen other doctors at this clinic in the last few years, but I feel much more comfortable with Dr. Hughston. He is easy to talk to and all about doing what he can to help with my gastro issues.

B. Google

Very professional and thoughtful. Definitely recommend Dr. Mahajani and the staff.

D.S. Google

Dr. Robertson actually spends time with you in the exam room. He is genuinely interested in your problems and your care. I highly recommend him.

M.F. Google

Dr. Marquis is very helpful and professional and saved me over 30 dollars a month on my medication! Very much recommend!

A.M. Google

He was adept and friendly, everyone was making sure that I was comfortable with the discussion, and they set up the actual procedure at a hospital nearby.

R.S. Google


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