How SpyGlass™ May Impact Endoscopic Retrograde Cholangiopancreatography Practice and Patient Management

GE Portuguese Journal of Gastroenterology
Pedro PereiraGuilherme Macedo

Abstract

Cholangiopancreatoscopy with SpyGlass™ Direct Visualization System (SGDVS) is being used in specialized centers for improving the sensitivity of endoscopic retrograde cholangiopancreatography (ERCP) in patients with indeterminate pancreatobiliary strictures (PBS). The aims of this study were to report our initial experience with SGDVS in the evaluation of indeterminate PBS, and discuss the improvements of ERCP brought by this technique in our center. The usefulness of SGDVS in patients with indeterminate PBS (defined after nondiagnostic previous ERCP with brush cytology) was evaluated in a prospective observational cohort study conducted at a single tertiary biliopancreatic unit. The accuracy of diagnosis by the SGDVS visual findings, SGDVS-guided biopsy, technical success, image quality, change in patient management after the procedure, and complication rate were assessed. In our single-center cohort, there were 13 SGDVS procedures for evaluating indeterminate PBS. Technical success, defined by the ability to progress with the SpyScope to the target lesion, was achieved in all the cases. The diagnostic accuracy of visual findings (87.5%) was superior to SGDVS-guided biopsy (55%). In 11 (85%) procedures, the image quality was c...Continue Reading

Citations

Jul 17, 2019·Clinical Endoscopy·Nasim Parsa, Mouen A Khashab
Apr 13, 2019·GE Portuguese Journal of Gastroenterology·Jorge CanenaJorge Reis
Jun 6, 2019·Current Treatment Options in Gastroenterology·Enrique Pérez-Cuadrado-Robles, Pierre H Deprez
May 16, 2018·GE Portuguese Journal of Gastroenterology·Marta Gravito-Soares, Nuno Almeida
Sep 8, 2020·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·UNKNOWN Cholangiocarcinoma Working Group

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