Clinical practice patterns in indirect peroral cholangiopancreatoscopy : outcome of a European survey

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European Cholangioscopy Grp , German Spyglass User Grp , Stassen , P M C , de Jonge , P J F , Webster , G J M , Ellrichmann , M , Dormann , A J , Udd , M , Bruno , M J & Cennamo , V 2021 , ' Clinical practice patterns in indirect peroral cholangiopancreatoscopy : outcome of a European survey ' , Endoscopy International Open , vol. 09 , no. 11 , pp. E1704-E1711 . https://doi.org/10.1055/a-1535-1458

Title: Clinical practice patterns in indirect peroral cholangiopancreatoscopy : outcome of a European survey
Author: European Cholangioscopy Grp; German Spyglass User Grp; Stassen, Pauline M. C.; de Jonge, Pieter Jan F.; Webster, George J. M.; Ellrichmann, Mark; Dormann, Arno J.; Udd, Marianne; Bruno, Marco J.; Cennamo, Vincenzo
Contributor organization: Clinicum
HUS Abdominal Center
II kirurgian klinikka
Date: 2021-11
Language: eng
Number of pages: 8
Belongs to series: Endoscopy International Open
ISSN: 2364-3722
DOI: https://doi.org/10.1055/a-1535-1458
URI: http://hdl.handle.net/10138/337675
Abstract: Background and aims Indirect peroral cholangiopancreatoscopy (IPOC) is a relatively new diagnostic and therapeutic tool for biliopancreatic diseases. This international survey aimed to evaluate clinical practice patterns in IPOC among endoscopists in Europe. Methods An online survey was developed comprising 66 questions on the use of IPOC. Questions were grouped into four domains. The survey was sent to 369 endoscopists who perform IPOC. Results 86 respondents (23.3%) from 21 different countries across Europe completed the survey. The main indications for cholangioscopy were determination of biliary strictures (85 [98.8%]) and removal of common bile duct or intrahepatic duct stones (79 [91.9 %]). accounting for an estimated use of 40% (interquartile range [IQR] 25-50) and 40% (IQR 30-60), respectively, of all cases undergoing cholangioscopy. Pancreatoscopy was mainly used for removal of pancreatic duct stones (68/76 [89.5%]), accounting for an estimated use of 76.5% (IQR 50-95) of all cases undergoing pancreatoscopy. Only 13/85 respondents (15.3%) had an institutional standardized protocol for targeted cholangioscopy-guided biopsy sampling. IPOC with lithotripsy was used as first-line treatment in selected patients with bile duct stones or pancreatic stones by 24/79 (30.4%) and 53/68 (77.9%) respondents, respectively. Conclusions This first European survey on the clinical practice of IPOC demonstrated wide variation in experience, indications, and techniques. These results emphasize the need for prospective studies and development of an international consensus guideline to standardize the practice and quality of IPOC.
Subject: CHOLANGIOSCOPY
BACTEREMIA
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: publishedVersion


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