Biliary Stricture Clinical Trial
Official title:
Pilot Study to Evaluate Optical Frequency Domain Imaging (OFDI) for Biliary Stricture Imaging
The goal of this study is to evaluate the potential of comprehensive biliary Optical Frequency Domain Imaging (OFDI) for assessing common bile duct or common hepatic duct strictures, determining cholangiocarcinoma margins, and evaluating primary sclerosing cholangitis (PSC).
The study will be conducted in approximately 20 patients with known or suspected common bile
duct or common hepatic duct stricture scheduled for endoscopic retrograde
cholangiopancreatography (ERCP) with duodenoscope-assisted cholangiopancreatoscopy (DACP) and
biopsy.
Following initial fluoroscopic evaluation, the study experimental procedure will begin. The
catheter will be passed through the auxiliary channel of the duodenoscope, across the papilla
and into the common bile duct. The extra-biliary portion of the catheter will be visible by
the duodenoscope at all times. The intrabiliary portion of the catheter will be visible by
fluoroscopy, and will be positioned across the biliary stricture. Rotational cross-sectional
images of the bile duct will be obtained using the OFDI imaging catheter while pulling back
the internal optical components over a pre-determined length. OFDI imaging will be conducted
approximately from 1 cm distal to 1 cm and proximal to the stricture margins identified by
fluoroscopy.
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