Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey

Background and aims Indirect peroral cholangiopancreatoscopy (IPOC) is a relatively new diagnostic and therapeutic tool for biliopancreatic diseases. This international survey aimed to evaluate clinical practice patterns in IPOC among endoscopists in Europe. Methods An online survey was d...

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Autores principales:	Pauline M.C. Stassen, Pieter Jan F. de Jonge, George J.M. Webster, Mark Ellrichmann, Arno J. Dormann, Marianne Udd, Marco J. Bruno, Vincenzo Cennamo
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/42aa673a13fd41d2af034a27a0cfce1a
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spelling	oai:doaj.org-article:42aa673a13fd41d2af034a27a0cfce1a2021-11-13T00:00:31ZClinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey2364-37222196-973610.1055/a-1535-1458https://doaj.org/article/42aa673a13fd41d2af034a27a0cfce1a2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/a-1535-1458https://doaj.org/toc/2364-3722https://doaj.org/toc/2196-9736Background and aims Indirect peroral cholangiopancreatoscopy (IPOC) is a relatively new diagnostic and therapeutic tool for biliopancreatic diseases. This international survey aimed to evaluate clinical practice patterns in IPOC among endoscopists in Europe. Methods An online survey was developed comprising 66 questions on the use of IPOC. Questions were grouped into four domains. The survey was sent to 369 endoscopists who perform IPOC. Results 86 respondents (23.3 %) from 21 different countries across Europe completed the survey. The main indications for cholangioscopy were determination of biliary strictures (85 [98.8 %]) and removal of common bile duct or intrahepatic duct stones (79 [91.9 %]), accounting for an estimated use of 40 % (interquartile range [IQR] 25–50) and 40 % (IQR 30–60), respectively, of all cases undergoing cholangioscopy. Pancreatoscopy was mainly used for removal of pancreatic duct stones (68/76 [89.5 %]), accounting for an estimated use of 76.5 % (IQR 50–95) of all cases undergoing pancreatoscopy. Only 13/85 respondents (15.3 %) had an institutional standardized protocol for targeted cholangioscopy-guided biopsy sampling. IPOC with lithotripsy was used as first-line treatment in selected patients with bile duct stones or pancreatic stones by 24/79 (30.4 %) and 53/68 (77.9 %) respondents, respectively. Conclusions This first European survey on the clinical practice of IPOC demonstrated wide variation in experience, indications, and techniques. These results emphasize the need for prospective studies and development of an international consensus guideline to standardize the practice and quality of IPOC.Pauline M.C. StassenPieter Jan F. de JongeGeorge J.M. WebsterMark EllrichmannArno J. DormannMarianne UddMarco J. BrunoVincenzo CennamoGeorg Thieme Verlag KGarticleDiseases of the digestive system. GastroenterologyRC799-869ENEndoscopy International Open, Vol 09, Iss 11, Pp E1704-E1711 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	Diseases of the digestive system. Gastroenterology RC799-869 Pauline M.C. Stassen Pieter Jan F. de Jonge George J.M. Webster Mark Ellrichmann Arno J. Dormann Marianne Udd Marco J. Bruno Vincenzo Cennamo Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey
description	Background and aims Indirect peroral cholangiopancreatoscopy (IPOC) is a relatively new diagnostic and therapeutic tool for biliopancreatic diseases. This international survey aimed to evaluate clinical practice patterns in IPOC among endoscopists in Europe. Methods An online survey was developed comprising 66 questions on the use of IPOC. Questions were grouped into four domains. The survey was sent to 369 endoscopists who perform IPOC. Results 86 respondents (23.3 %) from 21 different countries across Europe completed the survey. The main indications for cholangioscopy were determination of biliary strictures (85 [98.8 %]) and removal of common bile duct or intrahepatic duct stones (79 [91.9 %]), accounting for an estimated use of 40 % (interquartile range [IQR] 25–50) and 40 % (IQR 30–60), respectively, of all cases undergoing cholangioscopy. Pancreatoscopy was mainly used for removal of pancreatic duct stones (68/76 [89.5 %]), accounting for an estimated use of 76.5 % (IQR 50–95) of all cases undergoing pancreatoscopy. Only 13/85 respondents (15.3 %) had an institutional standardized protocol for targeted cholangioscopy-guided biopsy sampling. IPOC with lithotripsy was used as first-line treatment in selected patients with bile duct stones or pancreatic stones by 24/79 (30.4 %) and 53/68 (77.9 %) respondents, respectively. Conclusions This first European survey on the clinical practice of IPOC demonstrated wide variation in experience, indications, and techniques. These results emphasize the need for prospective studies and development of an international consensus guideline to standardize the practice and quality of IPOC.
format	article
author	Pauline M.C. Stassen Pieter Jan F. de Jonge George J.M. Webster Mark Ellrichmann Arno J. Dormann Marianne Udd Marco J. Bruno Vincenzo Cennamo
author_facet	Pauline M.C. Stassen Pieter Jan F. de Jonge George J.M. Webster Mark Ellrichmann Arno J. Dormann Marianne Udd Marco J. Bruno Vincenzo Cennamo
author_sort	Pauline M.C. Stassen
title	Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey
title_short	Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey
title_full	Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey
title_fullStr	Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey
title_full_unstemmed	Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey
title_sort	clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a european survey
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/42aa673a13fd41d2af034a27a0cfce1a
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Clinical practice patterns in indirect peroral cholangiopancreatoscopy: outcome of a European survey

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