Usefulness of Direct Peroral Cholangioscopy Using a Multibending Ultraslim Endoscope for the Management of Intrahepatic Bile Duct Lesions (with Videos).

IF 3.4 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Gut and Liver Pub Date : 2024-03-15 Epub Date: 2024-02-27 DOI:10.5009/gnl230163

Won Myung Lee, Jong Ho Moon, Yun Nah Lee, Chang Wook Min, Il Sang Shin, Jun Ho Myeong, Hee Kyung Kim, Jae Kook Yang, Tae Hoon Lee

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引用次数: 0

Abstract

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.

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使用多弯超薄内窥镜进行直接口周胆道镜检查治疗肝内胆管病变的实用性（附视频）。

背景/目的：：口周胆道镜 (POC) 已被用于评估肝内导管 (IHD) 病变，但作用有限。新设计的多弯（MB）超薄内窥镜可提高 POC 的性能。我们评估了使用 MB 超薄内镜进行肝内导管病变管理的 POC 实用性：方法：2017 年 3 月至 2020 年 3 月期间，22 名患者使用 MB 超薄内镜直接进行了 POC，以治疗既往成像或胆管胰管造影记录的 IHD 病变。主要结果是 POC 的技术成功率，次要结果是 POC 引导下干预的技术成功率、中位手术时间和 POC 相关不良事件：使用 MB 超薄内窥镜对 IHD 病变进行 POC 的技术成功率为 95.5%（21/22）。徒手插入成功率为 95.2%（20/21）。POC引导下介入治疗的总体技术成功率为100%（21/21），包括9项诊断和12项治疗手术（8项直接取石和4项导管内碎石）。手术时间中位数为29分钟（9至79分钟不等）。没有发生与手术相关的不良事件：结论：使用 MB 超薄内窥镜进行直接 POC 可直接观察 IHD 病变，对特定患者的诊断和治疗管理很有帮助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gut and Liver 医学-胃肠肝病学

CiteScore

7.50

自引率

8.80%

发文量

119

审稿时长

6-12 weeks

期刊介绍： Gut and Liver is an international journal of gastroenterology, focusing on the gastrointestinal tract, liver, biliary tree, pancreas, motility, and neurogastroenterology. Gut and Liver delivers up-to-date, authoritative papers on both clinical and research-based topics in gastroenterology. The Journal publishes original articles, case reports, brief communications, letters to the editor and invited review articles in the field of gastroenterology. The Journal is operated by internationally renowned editorial boards and designed to provide a global opportunity to promote academic developments in the field of gastroenterology and hepatology. Gut and Liver is jointly owned and operated by 8 affiliated societies in the field of gastroenterology, namely: the Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, the Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, the Korean Pancreatobiliary Association, and the Korean Society of Gastrointestinal Cancer.