{"id":551,"date":"2026-01-19T07:26:05","date_gmt":"2026-01-19T07:26:05","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=551"},"modified":"2026-04-21T04:27:27","modified_gmt":"2026-04-21T04:27:27","slug":"spyglass","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/gastroenterology\/spyglass\/","title":{"rendered":"SpyGlass DS Cholangioscopy"},"content":{"rendered":"<p style=\"display:none;\">SpyGlass cholangioscopy is available at Kishiwada Tokushukai Hospital, Osaka.<\/p>\n<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">What we do<\/div>\n<div class=\"disease-kpi__value\">\n    Cholangioscopy using the SpyGlass DS system\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Target area<\/div>\n<div class=\"disease-kpi__value\">\n    Bile duct and pancreatic duct\n  <\/div>\n<\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Approach<\/div>\n<div class=\"disease-kpi__value\">\n    Direct visualization to support diagnostic assessment\n  <\/div>\n<\/div>\n<\/div>\n<p class=\"disease-lead\">\n  SpyGlass DS is a cholangioscopy system used during endoscopic procedures<br \/>\n  to allow direct visualization of the bile duct.<br \/>\n  It is considered when standard imaging or ERCP findings are inconclusive.\n<\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>What is SpyGlass DS<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        SpyGlass DS is a single-operator cholangioscopy system<br \/>\n        used in combination with ERCP.<br \/>\n        It enables direct observation of the bile duct<br \/>\n        and, when required, the pancreatic duct.\n      <\/p>\n<p>\n        Direct visualization allows more detailed assessment<br \/>\n        of ductal abnormalities than imaging alone.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>When SpyGlass may be used<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<ul>\n<li>Indeterminate bile duct strictures<\/li>\n<li>Suspected bile duct tumors or intraductal lesions<\/li>\n<li>Unclear findings after ERCP<\/li>\n<li>Evaluation of complex biliary disease<\/li>\n<\/ul>\n<p class=\"disease-muted\">\n        Use of SpyGlass is determined based on imaging findings,<br \/>\n        ERCP results, and overall clinical assessment.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>How SpyGlass is used<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        The SpyGlass system is passed through the endoscope during ERCP,<br \/>\n        allowing targeted observation of specific areas within the bile duct.\n      <\/p>\n<p>\n        When appropriate, tissue samples can be obtained under direct visualization<br \/>\n        to support pathological diagnosis.\n      <\/p>\n<p class=\"disease-muted\">\n        Additional procedures are performed based on clinical need and safety considerations.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>After the procedure<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n        After cholangioscopy, patients are monitored in the same way as for ERCP,<br \/>\n        depending on the procedure performed and underlying condition.\n      <\/p>\n<p>\n        Findings from the examination are used to guide further evaluation<br \/>\n        or treatment planning.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Appointments are required in principle.<br \/>\n          A referral letter from another medical institution is recommended but not mandatory.\n        <\/p>\n<p class=\"disease-muted\">\n          For appointment requests and language support, please see the<br \/>\n          <a href=\"\/en\/departments\/gastroenterology\/#contact\">Gastroenterology<\/a> page.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>SpyGlass cholangioscopy is available at Kishiwada Tokushukai Hospital, Osaka. What we do Cholangioscopy using the SpyGlass DS system Target area Bile duct and pancreatic duct Approach Direct visualization to support diagnostic assessment SpyGlass DS is a cholangioscopy system used during endoscopic procedures to allow direct visualization of the bile duct. It is considered when standard [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":526,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-551","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/551","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=551"}],"version-history":[{"count":4,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/551\/revisions"}],"predecessor-version":[{"id":1713,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/551\/revisions\/1713"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/526"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}