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SEED Consensus Document on SpyGlass-DS.

Ramón Sánchez-Ocaña1, José Ramón Foruny Olcina2, Juan Vila Costas3

  • 1Servicio de Medicina Digestiva, Hospital Universitario Río Hortega, Valladolid, España.

Gastroenterologia Y Hepatologia
|September 30, 2022
PubMed
Summary

Cholangioscopy, using the Spyglass-DS system, enhances diagnosis and treatment for complex biliopancreatic conditions like large stones and biliary strictures when standard ERCP is insufficient. This consensus guides its expanded use in digestive endoscopy.

Keywords:
Biliary strictureCholangiopancreatoscopyCholangioscopyColangiopancreatoscopiaColangioscopiaCálculo difícilDifficult biliary stonesEstenosis biliarEstenosis conducto pancreáticoIntraductal papillary mucinous neoplasmNeoplasia mucinosa papilar intraductalPancreatic duct stricturePancreatolithiasisPancreatolitiasis

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Area of Science:

  • Gastroenterology and Endoscopy
  • Biliopancreatic Diseases
  • Medical Imaging

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is standard for biliopancreatic pathology but has diagnostic and therapeutic limitations.
  • Fluoroscopy in ERCP may not provide adequate diagnosis, and large stones often resist conventional removal methods.
  • Cholangioscopy emerges as a crucial tool for diagnosing biliary strictures and managing large stones, with growing applications in pancreatic pathology.

Purpose of the Study:

  • To establish consensus guidelines for the use of the Spyglass-DS cholangioscope in ERCP procedures.
  • To review current scientific evidence on the indications for cholangiopancreatoscopy in biliopancreatic diseases.

Main Methods:

  • Development of a consensus document by the Spanish Society of Digestive Endoscopy.
  • Review of scientific evidence by expert endoscopists specializing in cholangioscopy.
  • Focus on the application of the single-operator, disposable Spyglass-DS cholangioscope.

Main Results:

  • Cholangioscopy is crucial for diagnosing biliary strictures when ERCP imaging is insufficient.
  • It provides an effective method for treating large stones that are difficult to remove via conventional techniques.
  • The role of cholangioscopy is expanding in managing pancreatic pathology.

Conclusions:

  • The Spyglass-DS cholangioscope facilitates wider adoption of cholangioscopy in ERCP-performing hospitals.
  • This consensus provides evidence-based recommendations for optimizing cholangioscopy use in clinical practice.
  • Cholangioscopy is an essential tool for advancing the diagnosis and treatment of complex biliopancreatic conditions.