'Peroral Cholangioscopy' solution to bile duct stenosis

Assoc. Prof. Dr. Ferit Çelik gave information about the 'Peroral Cholangioscopy' procedure performed at IUE Medical Point Hospital. Çelik emphasized that this procedure was performed for the first time in a private hospital in Izmir.

Peroral Cholangioscopy, an advanced endoscopic procedure that allows direct visualization of the bile ducts and pancreatic duct, is of great importance in terms of making an accurate diagnosis by taking a biopsy. Ayşe Nizamoğlu, who applied to IUE Medical Point Hospital with the complaint of stenosis in the pancreatic duct and biliary tract, was cured with this procedure.


Performing the procedure, Assoc. Prof. Dr. Ferit Çelik from IUE Medical Point Hospital Gastroenterology Department said, “Our patient came with pancreatic gland infection. He was diagnosed with chronic pancreatitis in his previous examinations. Acute pancreatitis had developed on it. In his MRIs, irregularities and stenosis in the bile ducts in 2 regions were reported. First of all, we waited for the infection in the pancreatic gland to subside, then we performed ERCP and Perolal Cholangioscopy for the pancreatic duct and bile ducts because of chronic pancreatitis. With the ERCP procedure, we first entered the pancreatic duct and cleaned the deposits and stones. Then we inserted a stent into the pancreatic duct to allow the secretions to flow easily. In chronic pancreatitis, there are irregularities in the duct, the patient has pain and pancreatitis attacks may occur. To prevent this, we tried to straighten the canal and placed a stent.”

“We became the first private hospital to perform peroral cholangioscopy”
Emphasizing that Medical Point Hospital is the first private hospital to perform Peroral Cholangioscopy procedure for the first time, Çelik said, “We entered the biliary tract with ERCP. Then we entered the biliary tract with the Peroral Cholangioscopy device with a camera at the end and evaluated the stenosis areas. It looked like benign narrowings. We took a biopsy and are waiting for the pathology result. While performing the treatment step related to chronic pancreatitis, we also helped to diagnose bile duct strictures. This procedure is performed in a limited number of health institutions in our country. We were the first private hospital in Izmir to perform Peroral Cholangioscopy procedure.”
Stating that she was very happy to regain her health, Ayşe Nizamoğlu said, “When I received chemotherapy and radiotherapy in 2007, problems started to arise in the biliary tract. There was narrowing in the ducts. I had surgery twice to open the ducts. This time, the pancreatic ducts started to narrow. A stent is inserted into the duct once a year. With the Peroral Cholangioscopy procedure, my narrowed ducts were opened and I regained my health.”

İHA Haber Kodu: 20241116AW330162