Year 2018 / Volume 110 / Number 12
Original
Single-operator cholangiopancreatoscopy in pancreatobiliary diseases: clinical experience in a tertiary referral hospital

748-754

DOI: 10.17235/reed.2018.5837/2018

Vicente Pons Beltrán, Noelia Alonso-Lázaro, Rodrigo Mansilla-Vivar, Esteban Sáez González, Marta Ponce Romero, Lidia Argüello-Viudez, David Ramos Soler, Judith Pérez Rojas, James Leathers, Marco Bustamante Balen, Vicente Pons- Beltrán on behalf of Unidad de Endoscopia Digestiva. Departamento de Enfermedades Digestivas. Hospital Universitario y Politécnico La Fe. Grupo de Investigación de Endoscopia Digestiva. IIS Hospital La Fe. Valencia, España*,

* Unidad de Endoscopia Digestiva. Departamento de Enfermedades Digestivas. Hospital Universitario y Politécnico La Fe. Grupo de Investigación de Endoscopia Digestiva. IIS Hospital La Fe. Valencia, España: Vicente Pons- Beltrán

Abstract
Background and aims: to assess the usefulness, efficacy and safety of single-operator cholangiopancreatoscopy (SOCP) with the SpyGlass™ system for the management of biliopancreatic diseases. Methods: a retrospective analysis of patients undergoing SOCP with the SpyGlass™ between September 2008 and April 2016 was performed. Data was obtained from a prospectively-maintained database at a tertiary referral center. The primary study outcomes were technical and complete endoscopic success of the procedure. Two different SpyGlass™ systems were employed; the former is called legacy and the latter, digital system (DS). Results: a total of 107 SOCP procedures in 93 patients performed by a single operator were analyzed. Technical success of the SpyGlass™ examination was achieved in 90/93 (97%) of patients and complete success by resolving the biliopancreatic condition in 82/93 (88%) cases. In indeterminate biliary strictures, a complete success was achieved in 45/52 (85%) of cases. With regard to stone treatment, technical success was achieved in 34/34 (100%) patients and complete success, in 31/34 (91%) cases. Electrohydraulic lithotripsy was applied in 16/34 (47%) of cases. There were a total of 7/93 adverse effects (7.5%). Conclusions: SOCP is a useful and safe technique for the treatment of biliopancreatic diseases with a low rate of adverse effects. The procedure seems technically demanding and dedication is required.
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Pons Beltrán V, Alonso-Lázaro N, Mansilla-Vivar R, Sáez González E, Ponce Romero M, Argüello-Viudez L, et all. Single-operator cholangiopancreatoscopy in pancreatobiliary diseases: clinical experience in a tertiary referral hospital. 5837/2018


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Publication history

Received: 23/07/2018

Accepted: 11/09/2018

Online First: 26/10/2018

Published: 03/12/2018

Article revision time: 42 days

Article Online First time: 95 days

Article editing time: 133 days


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