Role of SpyGlass cholangiopancreatoscopy in removal of intraductal foreign bodies

Intraductal foreign bodies in the pancreatography bile and pancreatic ducts pose a special problem. Routine abdominal imaging, including endoscopic retrograde cholangiopancreatography (ERCP) is very helpful, but is relatively limited by the inability to directly visualise the foreign bodies. Peroral cholangiopancreatoscopy can be helpful in such cases. Here we present two cases where intraductal foreign bodies were successfully removed using the advantage of direct visualisation from SpyGlass cholangiopancreatoscopy system.