Single-operator cholangiopancreatoscopy in pancreatobiliary diseases: clinical experience in a tertiary referral hospital

Beltrán, Vicente Pons; Alonso-Lázaro, Noelia; Mansilla-Vivar, Rodrigo; Saéz-González, Esteban; Romero, M Ponce; Argüello-Viudez, Lidia; Soler, David Ramos; Rojas, Judith Pérez; Leathers, James; Balén, M Bustamante

doi:10.17235/reed.2018.5837/2018

Cited by 4 publications

(7 citation statements)

References 38 publications

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“…The flow diagram of the search and selection process of the studies is shown in Figure 1. The result of the initial search yielded a total of 2112 articles, of which 15 original articles published from 1999 to 2019 were included in the final analysis 4,6,10‐12,18‐27 . Four abstracts 28–31 (two prospective, and two retrospective) were identified during the literature search, but were not considered in the final analysis because they did not present complete data.…”

Section: Resultsmentioning

confidence: 99%

“…No randomized controlled trials (RCTs) were included. In Table 1, the patients' characteristics of the 15 included studies are summarized 4,6,10‐12,18‐27 …”

Section: Resultsmentioning

confidence: 99%

“…All 15 studies included a total of 370 patients. Only nine of the 15 studies including 219 patients reported the patients' mean age 4,6,10,12,18‐20,22,27 . The mean age of the patients was 53.9 ± 5.3 years (range 45‐62.4 y).…”

Section: Resultsmentioning

confidence: 99%

“…The mean age of the patients was 53.9 ± 5.3 years (range 45‐62.4 y). Patient's sex was noted in 11 studies 4,6,10‐12,18‐20,22,26,27 including 226 patients, of whom 150 (66.4%) were male and 76 (33.6%) were female.…”

Section: Resultsmentioning

confidence: 99%

“…Of 15 studies, six reported outcomes on POP using EHL only, 10,18,19,21,23,27 five studies using LL alone, 4,11,20,22,24 and four studies using both EHL and LL 6,12,25,26 . A total of 218 EHL procedures and 155 LL procedures were performed.…”

Section: Resultsmentioning

confidence: 99%

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Per‐oral pancreatoscopy‐guided lithotripsy for the endoscopic management of pancreatolithiasis: A systematic review and meta‐analysis

Guzmán-Calderón

Martínez‐Moreno

Casellas

et al. 2021

J of Digest Diseases

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Objective Pancreatic stones result from chronic pancreatitis and can occur in the main pancreatic duct, pancreatic branches or parenchyma. Although extracorporeal shock wave lithotripsy (ESWL) is considered the first‐line treatment, per‐oral pancreatoscopy (POP) has emerged as a useful method for treating pancreatic stones. The aim of this systematic review and meta‐analysis was to determine the efficacy and safety of POP‐guided lithotripsy, electrohydraulic lithotripsy (EHL) and laser lithotripsy (LL), in patients with pancreatolithiasis. Methods Literature review was conducted in PubMed, OVID, MEDLINE and Cochrane Library databases for studies published up to August 2020. Results Altogether 15 studies were analyzed, of which 11 were retrospective and four were prospective. The studies comprised 370 patients, of whom 66.4% were male. The patients underwent 218 EHL and 155 LL. The pooled technical and clinical success rate of the overall POP was 88.1% and 87.1%. For EHL‐POP, the pooled technical success rate was 90.9% (95% CI 87.2%‐95.2%) and the pooled clinical success rate was 89.8% (95% CI 87.2%‐95.2%). While for LL‐POP, the pooled technical and clinical success rate was 88.4% (95% CI 85.9%‐95.1%) and 85.8% (95% CI 80.6%‐91.6%). In total 43 adverse events occurred (12.1%; 95% CI 8.7%‐15.5%). Conclusion POP‐guided lithotripsy has a high rate of technical and clinical success for managing pancreatolithiasis with a low complication rate. Both EHL‐POP and LL‐POP achieve similar efficacy in the endoscopic therapy of pancreatolithiasis. Further large randomized controlled trials are needed to compare EHL‐POP and LL‐POP with ESWL and evaluate whether POP may replace ESWL as the first‐line management of pancreatolithiasis.

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Section: Resultsmentioning

confidence: 99%

“…No randomized controlled trials (RCTs) were included. In Table 1, the patients' characteristics of the 15 included studies are summarized 4,6,10‐12,18‐27 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Per‐oral pancreatoscopy‐guided lithotripsy for the endoscopic management of pancreatolithiasis: A systematic review and meta‐analysis

Guzmán-Calderón

Martínez‐Moreno

Casellas

et al. 2021

J of Digest Diseases

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Prospective registration study of diagnostic yield and sample size in forceps biopsy using a novel device under digital cholangioscopy guidance with macroscopic on‐site evaluation

Ogura

Hirose

Ueno

et al. 2022

J Hepato Biliary Pancreat

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Background Although the SpyGlass Direct Visualization System can be clinically useful for diagnosing indeterminate biliary stricture, it employs SpyBite forceps, which typically obtain only a small amount of tissue and have a low sampling rate. An improved forceps biopsy device for SpyGlass DS has recently been released (SpyBite MAX). The aim of this prospective registration study was to assess the diagnostic yield and efficacy of histological biopsy tissue obtained with SpyBite MAX forceps compared with SpyBite forceps in patients with indeterminate biliary stricture. Methods The primary outcome of the study was the diagnostic accuracy of biopsy specimens obtained by SpyBite MAX forceps. The secondary outcomes were tissue size, number of forceps biopsies, rate of obtaining adequate tissue, and adverse events in the SpyBite MAX forceps group compared with the SpyBite group. Results Forceps biopsies using SpyBite MAX (n = 47) and SpyBite (n = 50) were performed successfully in all patients. The number of biopsies performed before visible core tissue was obtained was significantly lower in the SpyBite (mean, 1.5 ± 0.7) than in the SpyBite forceps group (mean, 2.3 ± 1.1 mm; P < .001). Tissue sample size was larger in the SpyBite MAX group (mean, 1.8 ± 1.6 mm2) than in the SpyBite group (mean, 1.0 ± 0.9 mm2; P = .004) but there was no significant difference in diagnostic accuracy. Conclusion Improvements in dedicated forceps for biopsy in SpyGlass DS may contribute to improving the rates of adequate tissue and tissue sample size obtained, and to reducing the number of forceps biopsies required.

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Indications for Single-Operator Cholangioscopy and Pancreatoscopy: an Expert Review

Pérez-Cuadrado-Robles

Deprez

2019

Curr Treat Options Gastro

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Single-operator cholangiopancreatoscopy in pancreatobiliary diseases: clinical experience in a tertiary referral hospital

Abstract: Single-operator cholangiopancreatoscopy in pancreatobiliary diseases: clinical experience in a tertiary referral hospital.

Cited by 4 publications

References 38 publications

Per‐oral pancreatoscopy‐guided lithotripsy for the endoscopic management of pancreatolithiasis: A systematic review and meta‐analysis

Per‐oral pancreatoscopy‐guided lithotripsy for the endoscopic management of pancreatolithiasis: A systematic review and meta‐analysis

Prospective registration study of diagnostic yield and sample size in forceps biopsy using a novel device under digital cholangioscopy guidance with macroscopic on‐site evaluation

Indications for Single-Operator Cholangioscopy and Pancreatoscopy: an Expert Review

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