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European Consensus Recommendations for Direct Cholangioscopy and Pancreatoscopy Using a Modified Delphi Process.

Enrico Palmeri1,2, Sebastian Stefanovic3, Emine Gökce1

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This study developed European consensus recommendations for direct cholangioscopy and pancreatoscopy. These guidelines aim to standardize the use of these endoscopic techniques for diagnosing and treating pancreaticobiliary disorders.

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Area of Science:

  • Gastroenterology
  • Endoscopy

Background:

  • Direct cholangioscopy and pancreatoscopy are increasingly used for pancreaticobiliary disorders.
  • Standardized guidelines are needed to optimize their clinical application.

Purpose of the Study:

  • To establish general and indication-specific European consensus recommendations for cholangioscopy and pancreatoscopy.
  • To provide evidence-based guidance for clinicians utilizing these advanced endoscopic procedures.

Main Methods:

  • A modified Delphi process involving 30 experts was employed.
  • Statements were formulated based on literature review and expert consensus.
  • The GRADE methodology was used to determine evidence levels.

Main Results:

  • 42 consensus statements were accepted, with 97.6% agreement.
  • High consensus was achieved rapidly, with 92.9% accepted in the first round.
  • Recommendations cover pre-procedural, technical, stone, stricture, and other indications.

Conclusions:

  • Consensus recommendations for cholangioscopy and pancreatoscopy were successfully developed.
  • These guidelines will aid in the consistent and effective application of these techniques in clinical practice.