Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/897409
ENHANCED ERCP SpyGlass Direct Visualization System | Boston Scientific This single-use piece of equipment enhances any endoscopic retro- grade cholangiopancreatography (ERCP) procedure. ERCP joins endoscopy with the imaging of fluoroscopy, a combination that is best suited for viewing pancreatic and bile ducts, and the advantage of this procedure is that it allows for further therapeutic treatment. Being single-use, Boston Scientific's SpyGlass has no need for sterile repro- cessing. Plus, it reduces the risk of image quality declining after con- tinued usage, and with 4-way deflection, the SpyGlass renders high- resolution imaging that makes it simple to detect stones and stric- tures. These structures can then be diagnosed and treated with addi- tional equipment under the guidance of imaging from the SpyGlass. Since ERCP is more invasive than endoscopic ultrasound, it is typi- cally performed exclusively with therapeutic intent. However, tools like SpyGlass and its partner devices make ERCP an appealing and effective procedure, especially with the 2 nd generation of SpyGlass, which, in the last couple of years, has moved from fiber-optic imaging to clearer digital imaging. SpyGlass has 2 partner devices: • SpyBite forceps. As the name suggests, the SpyBite forceps is a device best paired with the SpyGlass during ERCP. Used as a diagnos- tic tool, namely for cholangiocarcinoma and pancreatic cancer, the SpyBite attaches to the endoscope along with the SpyGlass, which pro- vides direct visualization. Once indeterminate strictures are detected, the SpyBite can retrieve tissue to take a direct biopsy. This device brings the diagnostic yield to 90% versus a 30% yield via traditional diagnostic measures, such as a wire-guided cytology brush that uses fluoroscopic imaging to conduct the biopsy. This traditional method is done under fluoroscopic guidance only and the brushings are done without direct visualization of the stricture. The digital imaging of the SpyGlass reduces room for error. 8 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 1 7