Endoscopic papillary large balloon dilatation (EPLBD) involves endoscopic biliary sphincterotomy (EBS) followed by
balloon dilatation using a 12–20-mm balloon to remove large or difficult stones from the common


Pre-cut Sphincterotomy

A technique employed to gain access to the common bile duct when standard methods using catheters, cannulatomes,
and guidewires have failed.

HILAR STENTING OF BILE DUCT CANCERS KLATSKIN’S TUMOR

A Klatskin tumor (or hilar cholangiocarcinoma) is a cholangiocarcinoma (cancer of the biliary tree) occurring at
the confluence of the right and left hepatic bile ducts. Because of their location, these tumors tend to become
symptomatic late in their development and therefore are not usually resectable at the time of presentation.











SPY GLASS CHOLANGIOSCOPY

Cholangioscopy (Direct Visualization of the common bile duct) with directed biopsies for evaluation of common bile duct strictures and stones.
SpyGlass Direct Visualization System – Tallahassee Memorial HealthCare has expanded the capabilities of the
Endoscopy Center to include the SpyGlass Direct Visualization Cholangioscopy System, which gives physicians a more
accurate view to evaluate and diagnose gallstones, suspected malignancies, bile duct strictures and cystic lesions.




Hilar Stenting (Metal Stents)

EPLBD – Post Dilatation and Extraction

EPLBD – Endoscopic Papillary Large Balloon Dilatation

Spy Glass Cholangioscopy







DIAGNOSTIC & THERAPEUTIC PANCREATIC ENDOSCOPY

Treatment of Pancreatic Leaks and Strictures with Pancreatic Stenting

Pancreatic sphincterotomy serves as the cornerstone of endoscopic therapy of the pancreas. In the appropriate setting,
it may be used as a single therapeutic maneuver, or in conjunction with other endoscopic techniques such as pancreatic
stone extraction or stent placement.












Appointment - Contact us at (850) 877-2105 or via the contact form to make an appointment to discuss your specific situation.

Pre EPLBD

ERCP with Cholangioscopy

 ERCP can help to diagnose conditions of the liver, bile ducts, pancreas or gallbladder.


ERCP TECHNIQUES
Endoscopic papillary large balloon dilatation – extraction for large (CBD- common bile duct) stones















eRCP

Pancreatic Stenting