Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct

Figure 1 Distal common bile duct stricture on initial cholangiogram.

Figure 2 Polypoid lesion seen with SpyGlass™ cholangioscopy.

Figure 3 Biliary epithelium with papillary configuration and atypical cells.

Figure 4 Occlusion cholangiogram performed four months after last radiofrequency ablation treatment, revealing no polypoid lesion or stricture in the distal common bile duct.

Figure 5 Repeat SpyGlass™ cholangioscopy showing no residual polypoid lesion.

Figure 6 Repeat endoscopic retrograde cholangiopancreatography demonstrating a 10 mm distal common bile duct stricture without evidence of a mass lesion.