Performance of a fully disposable, digital, single-operator cholangiopancreatoscope

Endoscopy
Raj J ShahDouglas K Pleskow

Abstract

Background and study aim Our aim was to evaluate the first use in humans of a new, single-use, digital, single-operator intraductal cholangiopancreatoscopy system (IDCP). Patients and methods Data were collected retrospectively from four US institutions between February 2015 and April 2015. The visual impression of neoplasia or benign findings with IDCP was determined by the performing endoscopist. High grade dysplasia, intraductal papillary mucinous neoplasm, neuroendocrine tumor, and malignancy were categorized as neoplasia. Benign disease was defined as the absence of neoplasia during ≥ 6 months of follow-up. Results Patients (n = 108) with indeterminate strictures, dilatation, or difficult stones underwent IDCP. Of 74 patients with indeterminate stricture or dilatation, 29 (39 %) had neoplasia, of which 25 were confirmed by miniature biopsy forceps, 2 by surgical pathology, and 2 by the presence of metastatic disease on follow-up imaging. In patients with benign disease, 15 had concentric stenosis or normal/erythematous changes, 5 had low papillary mucosal projections, 6 had coarse granular mucosa, and 4 had nodular mucosa. Findings in patients with neoplastic disease included dilated, tortuous vessels ("tumor vessels"; n =...Continue Reading

Citations

May 31, 2018·Current Opinion in Gastroenterology·Corey S Miller, Yen-I Chen
Nov 24, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Zheng JinXiaofeng Zhang
Oct 24, 2018·Scandinavian Journal of Gastroenterology·Ondrej UrbanPremysl Falt
Jan 29, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Udayakumar NavaneethanTakao Itoi
Jul 17, 2019·Clinical Endoscopy·Nasim Parsa, Mouen A Khashab
Feb 2, 2019·World Journal of Gastrointestinal Endoscopy·Luca De LucaBenedetto Mangiavillano
Jul 20, 2018·United European Gastroenterology Journal·Frank LenzeHansjoerg Ullerich
May 21, 2020·Digestive Diseases and Sciences·Samuel HanRaj J Shah
Feb 2, 2019·World Journal of Gastrointestinal Endoscopy·Petko KaragyozovIvan Tishkov
Jan 15, 2020·Gastroenterology Research and Practice·O UrbanP Falt
Jul 2, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Facundo GalettiEduardo Guimarães Hourneaux de Moura
Apr 29, 2020·Surgical Endoscopy·Pedro Victor Aniz Gomes de OliveiraEduardo Guimarães Hourneaux de Moura
Nov 4, 2020·Current Gastroenterology Reports·Nichol S MartinezDivyesh V Sejpal
Jul 25, 2020·Gastrointestinal Endoscopy·Carlos Robles-MedrandaHannah Pitanga-Lukashok
Apr 4, 2021·Journal of Clinical Medicine·Yuki TanisakaShomei Ryozawa
Apr 4, 2021·Journal of Clinical Medicine·Anna Maria IerardiGianpaolo Carrafiello
Jul 25, 2020·Current Drug Metabolism·Manuele FurnariLeonardo Henry Eusebi

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