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

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.