Cholangiocarcinoma – Bismuth Type II

AbstractCholangiocarcinomas are an important differential diagnosis of filling defects at endoscopic retrograde cholangiopancreatography. In cases without advanced disease, surgery is a potentially curative treatment and therefore, early diagnosis is warranted. However, the positive predictive value of cholangiography for malignant strictures is suboptimal. Cholangioscopy offers the principal advantage of direct visualization of the bile ducts and targeted biopsies of suspected malignancies, as well as interventional procedures. Herein the case of a patient with invasive cholangiocarcinoma, which was depicted and treated with peroral cholangioscopy is reported. This article is part of an expert video encyclopedia