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endoscope• In addition, the procedure usually takes longer and an endoscope of a greater diameter is used when biliary stenting is performed.• A third way, called an endoscope, uses the principle of totalinternalreflection which we saw in the demonstration.• In 30 cases the first biopsy was taken using a fibreoptic endoscope.• The indication for endoscopy was noted as well as the dose of sedation, the size of endoscope, and length of procedure.• We recently handed over a paediatric endoscope, costing £1,200, to the unit.• A skilled endoscopist is essential, but the equipment can be as simple as a standard endoscope and an injectionneedle.• Lasertreatment can be technically difficult, particularly in patients in whom the endoscope will not pass the stricture.