Single-operator cholangiopancreatoscopy in pancreatobiliary diseases: clinical experience in a tertiary referral hospital
Rev. esp. enferm. dig
; 110(12): 748-754, dic. 2018. ilus, tab
Article
in English
| IBECS
| ID: ibc-177923
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Background and aims:
to assess the usefulness, efficacy and safety of single-operator cholangiopancreatoscopy (SOCP) with the SpyGlass(TM) system for the management of biliopancreatic diseases.Methods:
a retrospective analysis of patients undergoing SOCP with the SpyGlass(TM) 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(TM) 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(TM) 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 requiredRESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Pancreatic Diseases
/
Biliary Tract Diseases
/
Gallstones
/
Cholangiopancreatography, Endoscopic Retrograde
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. esp. enferm. dig
Year:
2018
Document type:
Article
Institution/Affiliation country:
Hospital Universitario y Politécnico La Fe/Spain
/
Instituto de Investigación Sanitaria Hospital La Fe/Spain
/
Vanderbilt University School of Medicine/USA