Cholangioscopy

Dr Richard Sturgess is a Consultant Physician and Deputy Medical Director at Aintree University Hospital NHS Trust in Liverpool. He trained in gastroenterology and hepatology in London and Liverpool, and has extensive experience in hepatobiliary endoscopy and endoscopy training. His clinical and research interests include hepatobiliary oncology, gallstone disease and health service provision. In addition to his clinical work, he is actively involved in active health service management and transformation. His previous roles outside of his Trust include Merseyside Modernisation Lead for Endoscopy and Director of the Cheshire and Merseyside Bowel Cancer Screening Program. Laura Dwyer is the lead HPB nurse at Aintree University Hospital in Liverpool. She manages a tertiary ERCP service and also has the role of nurse endoscopist. Laura delivers nurse-led HPB clinics, managing patients with Primary Sclerosing Cholangitis and has a keen interest in training within ERCP. She has been directly involved in the setup of national training courses for nurses through to consultant-level ERCP training programmes. Laura is a trainer for upper GI endoscopy for both the medical and nursing workforces. She manages a team of specialist HPB nurses and is involved in all aspects of hepatobiliary service provision. Laura is the chairperson of the British Society of Gastroenterology Nurse Association, holds a position at the University of Salford, and developed the GI Masters module. Dr Christopher Wadsworth completed his specialist training in London, including posts at St Mary's, Hammersmith and St Mark's hospitals. He completed his PhD at Imperial College, London, during which he investigated novel techniques for endoscopic imaging of the biliary tree and pancreas. He undertook a short travelling fellowship to the hepatobiliary unit at the Mayo Clinic, Minnesota, USA, and spent a year as senior fellow in advanced pancreatobiliary endoscopy at Aintree Hospital, Liverpool.

1. Introduction/history of cholangioscopy.- 2. Hepatobiliary anatomy for the endoscopist.- 3. Indications for cholangioscopy.- 4. Patient preparation and nursing issues.- 5. Single operator cholangioscopy.- a. Set up.- b. Technique.- c. Diagnostic cholangioscopy.- d. Lithotripsy .- 6. Direct cholangioscopy.- 7. Developments / future applications