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The London Clinic is the first private hospital in the UK to offer patients SpyGlass® cholangioscopy technology.  

This minimally invasive procedure helps diagnose and treat conditions that results in the narrowing or obstruction of the bile duct, including:

  • bile duct stones
  • pancreatic duct stones 
  • benign tumours
  • malignant tumours  

These conditions can cause pain in your abdomen, jaundice, or other abnormalities that show up in blood tests or on scans.

Conventionally endoscopic retrograde cholangiopancreatography (ERCP) is used to help diagnose and treat conditions of the bile ducts. 

However, if ERCP is unsuccessful or fails to establish a clear diagnosis, patients at The London Clinic can now be considered for SpyGlass cholangioscopy. 

How the SpyGlass works

The SpyGlass cholangioscope is a very thin (3mm) steerable endoscope that has a tiny camera on the end. This allows the consultant to visually examine the inside of the bile ducts.

SpyGlass promo image

This may then allow abnormalities to be carefully targeted, for example with a biopsy. 

When treating stones, the SpyGlass cholangioscope can be inserted right up to the stone and under a direct view shock waves can be fired through the cholangioscope using electrohydraulic lithotripsy to break them up.

Balloons and baskets are then used to remove these fragments. 

Dealing with strictures

When diagnosing and treating narrowings (‘strictures’) of the bile duct the endoscopist is able to make a clearer assessment to whether the narrowing is caused by a benign or cancerous disease by using the SpyGlass cholangioscope to inspect the lining of the bile duct.

If the cause is benign many strictures can be opened up with balloons or stents. 

If the stricture might be due to cancer, biopsy forceps can be passed down the cholangioscope which allows direct samples from abnormal areas of the bile duct to be taken. These biopsies will then be sent to our pathologists to help make a clear diagnosis. 

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world- renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments. An All-Inclusive Package for this treatment is available from £7,335.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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