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Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones
BACKGROUND: Recently, the introduction of the novel digital SpyGlass™ DS Direct Visualization system (Boston Scientific Corp., Natick, MA, USA) has signaled the transition into the era of digital single-operator cholangioscopy (D-SOC). We sought to compare the clinical utility between fiberoptic sin...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394257/ https://www.ncbi.nlm.nih.gov/pubmed/30837794 http://dx.doi.org/10.20524/aog.2019.0358 |
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author | Dimas, Ioannis D. Vardas, Emmanouil Papastergiou, Vasilios Fragaki, Maria Velegraki, Magdalini Mpitouli, Afroditi Voudoukis, Evangelos Theodoropoulou, Angeliki Giannikaki, Elpida Chlouverakis, Gregorios Paspatis, Gregorios A. |
author_facet | Dimas, Ioannis D. Vardas, Emmanouil Papastergiou, Vasilios Fragaki, Maria Velegraki, Magdalini Mpitouli, Afroditi Voudoukis, Evangelos Theodoropoulou, Angeliki Giannikaki, Elpida Chlouverakis, Gregorios Paspatis, Gregorios A. |
author_sort | Dimas, Ioannis D. |
collection | PubMed |
description | BACKGROUND: Recently, the introduction of the novel digital SpyGlass™ DS Direct Visualization system (Boston Scientific Corp., Natick, MA, USA) has signaled the transition into the era of digital single-operator cholangioscopy (D-SOC). We sought to compare the clinical utility between fiberoptic single-operator cholangioscopy (F-SOC) and D-SOC in a tertiary-care referral center in Greece. METHODS: This was a retrospective analysis of a prospective database of single-operator cholangioscopy (SOC) procedures performed over an 8-year period (2009-2017) at a single tertiary-care referral center. The study population consisted of consecutive adults referred for cholangioscopy for a variety of clinical indications, including biliary strictures, difficult biliary stones and migrated or occluded pancreatic or biliary stents. RESULTS: A total of 2763 endoscopic retrograde cholangiopancreatography procedures were performed during the study period. Overall, SOC was performed in 68 (2.46%) procedures (F-SOC=39, D-SOC=29), showing a significant increase in the utilization of cholangioscopy during the D-SOC (29/599; 4.84%) compared with the F-SOC (39/2124; 1.83%) period (P=0.0001). The overall technical success of diagnostic SOC was 69.1% (38/55), being marginally higher for D-SOC (83.3%) than for F-SOC (58.1%), although not reaching statistical significance (P=0.07). CONCLUSIONS: D-SOC was utilized more frequently in our tertiary-care non-academic referral center, demonstrating a favorable safety profile and a trend towards a marginally higher technical success rate for the diagnosis of biliary strictures compared with F-SOC. |
format | Online Article Text |
id | pubmed-6394257 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
spelling | pubmed-63942572019-03-05 Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones Dimas, Ioannis D. Vardas, Emmanouil Papastergiou, Vasilios Fragaki, Maria Velegraki, Magdalini Mpitouli, Afroditi Voudoukis, Evangelos Theodoropoulou, Angeliki Giannikaki, Elpida Chlouverakis, Gregorios Paspatis, Gregorios A. Ann Gastroenterol Original Article BACKGROUND: Recently, the introduction of the novel digital SpyGlass™ DS Direct Visualization system (Boston Scientific Corp., Natick, MA, USA) has signaled the transition into the era of digital single-operator cholangioscopy (D-SOC). We sought to compare the clinical utility between fiberoptic single-operator cholangioscopy (F-SOC) and D-SOC in a tertiary-care referral center in Greece. METHODS: This was a retrospective analysis of a prospective database of single-operator cholangioscopy (SOC) procedures performed over an 8-year period (2009-2017) at a single tertiary-care referral center. The study population consisted of consecutive adults referred for cholangioscopy for a variety of clinical indications, including biliary strictures, difficult biliary stones and migrated or occluded pancreatic or biliary stents. RESULTS: A total of 2763 endoscopic retrograde cholangiopancreatography procedures were performed during the study period. Overall, SOC was performed in 68 (2.46%) procedures (F-SOC=39, D-SOC=29), showing a significant increase in the utilization of cholangioscopy during the D-SOC (29/599; 4.84%) compared with the F-SOC (39/2124; 1.83%) period (P=0.0001). The overall technical success of diagnostic SOC was 69.1% (38/55), being marginally higher for D-SOC (83.3%) than for F-SOC (58.1%), although not reaching statistical significance (P=0.07). CONCLUSIONS: D-SOC was utilized more frequently in our tertiary-care non-academic referral center, demonstrating a favorable safety profile and a trend towards a marginally higher technical success rate for the diagnosis of biliary strictures compared with F-SOC. Hellenic Society of Gastroenterology 2019 2019-01-25 /pmc/articles/PMC6394257/ /pubmed/30837794 http://dx.doi.org/10.20524/aog.2019.0358 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Dimas, Ioannis D. Vardas, Emmanouil Papastergiou, Vasilios Fragaki, Maria Velegraki, Magdalini Mpitouli, Afroditi Voudoukis, Evangelos Theodoropoulou, Angeliki Giannikaki, Elpida Chlouverakis, Gregorios Paspatis, Gregorios A. Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
title | Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
title_full | Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
title_fullStr | Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
title_full_unstemmed | Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
title_short | Comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
title_sort | comparison of digital versus fiberoptic cholangioscopy in patients requiring evaluation of bile duct disease or treatment of biliary stones |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394257/ https://www.ncbi.nlm.nih.gov/pubmed/30837794 http://dx.doi.org/10.20524/aog.2019.0358 |
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