PMID- 37301507
OWN - NLM
STAT- MEDLINE
DCOM- 20240214
LR  - 20240214
IS  - 0210-5705 (Print)
IS  - 0210-5705 (Linking)
VI  - 47
IP  - 2
DP  - 2024 Feb
TI  - Evaluation of the effectiveness and safety of single-operator 
      cholangiopancreatoscopy with the SpyGlass system.
PG  - 170-178
LID - S0210-5705(23)00347-3 [pii]
LID - 10.1016/j.gastrohep.2023.06.001 [doi]
AB  - BACKGROUND AND STUDY AIMS: The single-operator cholangiopancreatoscopy (SOCP) 
      with the SpyGlass system is a endoscopy technique whose use has grown 
      exponentially in recent years. The aims of this study were to evaluate the 
      efficacy and safety of SOCP with SpyGlass and determine the factors related to 
      the onset of adverse events (AEs). PATIENTS AND METHODS: Retrospective study at a 
      single tertiary institution with inclusion of all consecutive patients undergoing 
      SOCP with SpyGlass from February-2009 to December-2021. No exclusion criteria 
      were considered. A descriptive statistical analysis was performed. The factors 
      associated with the existence of AE were analyzed using Chi-square and Student's 
      t-test. RESULTS: A total of 95 cases were included. The most common indications 
      were biliary strictures (BS) evaluation (66.3%) or treatment of difficult common 
      bile duct stones (27.4%). Technical and clinical success was attained in 98.9%. 
      Single-session stone clearance was obtained in 84%. The AE rate was 7.4%. To 
      detect malignancy in BS, optical diagnosis presents a sensitivity and specificity 
      of 100% and 91.2%, respectively; while histology results were 36.4% and 100% 
      respectively. A previous endoscopic sphincterotomy was associated with a lower 
      rate of AEs (2.4% vs 41.7%; p<0.001). CONCLUSIONS: SOCP with SpyGlass is a safe 
      and effective technique to diagnose and treat pancreatobiliary pathology. The 
      presence of sphincterotomy performed prior to the procedure could improve the 
      technique's safety.
CI  - Copyright (c) 2023 Elsevier Espana, S.L.U. All rights reserved.
FAU - Tejido, Coral
AU  - Tejido C
AD  - Department of Digestive Diseases, Complexo Hospitalario Universitario de Ourense, 
      Ourense, Spain; Grupo de Investigacion en Oncologia Digestiva (GIODO), Instituto 
      de Investigacion Sanitaria Galicia Sur, Ourense, Spain.
FAU - Puga, Manuel
AU  - Puga M
AD  - Department of Digestive Diseases, Complexo Hospitalario Universitario de Ourense, 
      Ourense, Spain; Grupo de Investigacion en Oncologia Digestiva (GIODO), Instituto 
      de Investigacion Sanitaria Galicia Sur, Ourense, Spain. Electronic address: 
      manuel.puga.gimenez.de.azcarate@sergas.es.
FAU - Regueiro, Cristina
AU  - Regueiro C
AD  - Grupo de Investigacion en Oncologia Digestiva (GIODO), Instituto de Investigacion 
      Sanitaria Galicia Sur, Ourense, Spain.
FAU - Francisco, Maria
AU  - Francisco M
AD  - Department of Digestive Diseases, Complexo Hospitalario Universitario de Ourense, 
      Ourense, Spain; Grupo de Investigacion en Oncologia Digestiva (GIODO), Instituto 
      de Investigacion Sanitaria Galicia Sur, Ourense, Spain.
FAU - Rivas, Laura
AU  - Rivas L
AD  - Department of Digestive Diseases, Complexo Hospitalario Universitario de Ourense, 
      Ourense, Spain; Grupo de Investigacion en Oncologia Digestiva (GIODO), Instituto 
      de Investigacion Sanitaria Galicia Sur, Ourense, Spain.
FAU - Sanchez, Eloy
AU  - Sanchez E
AD  - Department of Digestive Diseases, Complexo Hospitalario Universitario de Ourense, 
      Ourense, Spain; Grupo de Investigacion en Oncologia Digestiva (GIODO), Instituto 
      de Investigacion Sanitaria Galicia Sur, Ourense, Spain.
LA  - eng
LA  - spa
PT  - Journal Article
DEP - 20230608
PL  - Spain
TA  - Gastroenterol Hepatol
JT  - Gastroenterologia y hepatologia
JID - 8406671
SB  - IM
MH  - Humans
MH  - Cholangiopancreatography, Endoscopic Retrograde/adverse effects/methods
MH  - Retrospective Studies
MH  - *Cholestasis/diagnosis
MH  - Sensitivity and Specificity
MH  - *Gallstones/etiology
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Biliary stricture
OT  - Cholangioscopy
OT  - Colangiopancreatografia retrograda endoscopica
OT  - Colangioscopia
OT  - Coledocolitiasis
OT  - Common bile duct stones
OT  - Endoscopic retrograde cholangiopancreatography
OT  - Estenosis biliar
OT  - SpyGlass(R)
OT  - SpyGlass
EDAT- 2023/06/11 01:06
MHDA- 2024/02/12 05:43
CRDT- 2023/06/10 19:30
PHST- 2023/02/15 00:00 [received]
PHST- 2023/05/19 00:00 [revised]
PHST- 2023/06/01 00:00 [accepted]
PHST- 2024/02/12 05:43 [medline]
PHST- 2023/06/11 01:06 [pubmed]
PHST- 2023/06/10 19:30 [entrez]
AID - S0210-5705(23)00347-3 [pii]
AID - 10.1016/j.gastrohep.2023.06.001 [doi]
PST - ppublish
SO  - Gastroenterol Hepatol. 2024 Feb;47(2):170-178. doi: 
      10.1016/j.gastrohep.2023.06.001. Epub 2023 Jun 8.