Año 2018 / Volumen 110 / Número 12
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Año 2018 / Volumen 110 / Número 12

Original

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

748-754

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 en representación de 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

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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Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la Sociedad
Española de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
© 2018 Revista Española de Enfermedades Digestivas