Usefulness of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for the Management of Intrahepatic Bile Duct Lesions (with Videos)
Background/Aims: : Peroral cholangioscopy (POC) has been used to assess intrahepatic duct (IHD) lesions but with a limited role. A new multibending (MB) ultraslim endoscope has been designed to improve POC performance. We evaluated the usefulness of POC using the MB ultraslim endoscope for the management of IHD lesions.
Methods: : Between March 2017 and March 2020, 22 patients underwent direct POC using the MB ultraslim endoscope for IHD lesions documented by previous imaging or cholangiopancreatography. The primary outcome was technical success of POC, and secondary outcomes were technical success of POC-guided interventions, median procedure time, and POC-related adverse events.
Results: : The technical success rate for POC using the MB ultraslim endoscope for IHD lesions was 95.5% (21/22). Free-hand insertion was successful in 95.2% (20/21). The overall technical success rate for POC-guided intervention was 100% (21/21), including nine diagnostic and 12 therapeutic procedures (eight direct stone removal and four intraductal lithotripsies). The median procedure time was 29 minutes (range, 9 to 79 minutes). There were no procedure-related adverse events.
Conclusions: : Direct POC using the MB ultraslim endoscope allows direct visualization of IHD lesions and may be useful for diagnosis and therapeutic management in selected patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
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| Enthalten in: |
Gut and liver - 18(2024), 2 vom: 15. März, Seite 358-364 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lee, Won Myung [VerfasserIn] |
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| Links: |
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| Themen: |
Biliary tract diseases |
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| Anmerkungen: |
Date Completed 15.03.2024 Date Revised 16.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.5009/gnl230163 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368996247 |
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| 500 | |a Date Completed 15.03.2024 | ||
| 500 | |a Date Revised 16.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Background/Aims: : Peroral cholangioscopy (POC) has been used to assess intrahepatic duct (IHD) lesions but with a limited role. A new multibending (MB) ultraslim endoscope has been designed to improve POC performance. We evaluated the usefulness of POC using the MB ultraslim endoscope for the management of IHD lesions | ||
| 520 | |a Methods: : Between March 2017 and March 2020, 22 patients underwent direct POC using the MB ultraslim endoscope for IHD lesions documented by previous imaging or cholangiopancreatography. The primary outcome was technical success of POC, and secondary outcomes were technical success of POC-guided interventions, median procedure time, and POC-related adverse events | ||
| 520 | |a Results: : The technical success rate for POC using the MB ultraslim endoscope for IHD lesions was 95.5% (21/22). Free-hand insertion was successful in 95.2% (20/21). The overall technical success rate for POC-guided intervention was 100% (21/21), including nine diagnostic and 12 therapeutic procedures (eight direct stone removal and four intraductal lithotripsies). The median procedure time was 29 minutes (range, 9 to 79 minutes). There were no procedure-related adverse events | ||
| 520 | |a Conclusions: : Direct POC using the MB ultraslim endoscope allows direct visualization of IHD lesions and may be useful for diagnosis and therapeutic management in selected patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Biliary tract diseases | |
| 650 | 4 | |a Biliary tract neoplasms | |
| 650 | 4 | |a Intraductal lithotripsy | |
| 650 | 4 | |a Intrahepatic bile duct | |
| 650 | 4 | |a Peroral cholangioscopy | |
| 700 | 1 | |a Moon, Jong Ho |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Yun Nah |e verfasserin |4 aut | |
| 700 | 1 | |a Min, Chang Wook |e verfasserin |4 aut | |
| 700 | 1 | |a Shin, Il Sang |e verfasserin |4 aut | |
| 700 | 1 | |a Myeong, Jun Ho |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Hee Kyung |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Jae Kook |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Tae Hoon |e verfasserin |4 aut | |
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