☆ 4.6 Review

The Role of Cholangioscopy in Biliary Diseases

DIAGNOSTICS (2023)

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Review Gastroenterology & Hepatology

Endoscopic Treatment of Large Bile Duct Stones: A Systematic Review and Network Meta-Analysis

Antonio Facciorusso et al.

Summary: All treatments except mechanical lithotripsy were more effective than sphincterotomy in terms of stone removal rate. Cholangioscopy ranked the highest in increasing the success rate of stone removal, followed by S+EPLBD. None of the interventions showed significant differences in adverse event rates.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2023)

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Article Gastroenterology & Hepatology

Efficiency of percutaneous transhepatic cholangioscopy in the treatment of biliary complications after liver transplantation

Aimaiti Yasen et al.

Summary: This study aimed to evaluate the short-term efficiency of percutaneous transhepatic cholangioscopy (PTCS) in managing biliary complications following liver transplantation. Retrospective analysis of clinical data from 25 patients who received therapeutic PTCS revealed that PTCS was successful in treating biliary complications, with significant improvement in clinical manifestations. PTCS was more effective in tackling anastomotic strictures and cholangiolithiasis.

HPB (2023)

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Review Gastroenterology & Hepatology

Cholangioscopy for biliary diseases

Aymeric Becq et al.

Summary: The purpose of this review is to summarize the technique, clinical applications, and future perspectives of cholangioscopy, which is a mini-invasive endoscopic procedure for visualizing the biliary tract. Recent technological advances have broadened the use of cholangioscopy in diagnosing and treating biliary diseases. The procedure can be performed through various access routes, and it has multiple clinical applications ranging from visual impression and biopsies to stone management and stent retrieval. New technology, accessories, and applications are expected in the future.

CURRENT OPINION IN GASTROENTEROLOGY (2023)

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Article Gastroenterology & Hepatology

OC.02.3 LAPAROSCOPIC USE OF SINGLE-OPERATOR CHOLANGIOSCOPE IN PATIENTS WITH ACUTE CHOLEYSTITIS: FIRST CLINICAL EXPERIENCE

A. Mauro et al.

DIGESTIVE AND LIVER DISEASE (2023)

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Article Gastroenterology & Hepatology

Artificial intelligence for diagnosing neoplasia on digital cholangioscopy: development and multicenter validation of a convolutional neural network model

Carlos Robles-Medranda et al.

Summary: The study aims to develop a CNN model for detecting neoplastic lesions during real-time DSOC and clinically validate it against expert and nonexpert endoscopists. The results demonstrate that the CNN model achieved high accuracy in diagnosing neoplastic lesions and outperformed both nonexpert and expert endoscopists.

ENDOSCOPY (2023)

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Article Gastroenterology & Hepatology

Initial experience of visualized biliary cannulation during ERCP

Wei-hui Liu et al.

ENDOSCOPY (2023)

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Article Gastroenterology & Hepatology

Identification of patients with malignant biliary strictures using a cholangioscopy-based deep learning artificial intelligence (with video)

Neil B. Marya et al.

Summary: A convolutional neural network (CNN) model developed solely using cholangioscopy images has been found to have greater accuracy for classifying biliary strictures compared to traditional ERCP-based sampling techniques. The CNN showed good performance in mimicking expert annotations of high-quality malignant images, and its overall accuracy in video analysis was significantly higher than brush cytology or forceps biopsy sampling. The study also identified common image features associated with malignant biliary strictures.

GASTROINTESTINAL ENDOSCOPY (2023)

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Article Gastroenterology & Hepatology

A real-time interpretable artificial intelligence model for the cholangioscopic diagnosis of malignant biliary stricture (with videos)

Xiang Zhang et al.

Summary: This study developed a real-time interpretable AI system called MBSDeiT to predict malignant biliary strictures under digital single-operator cholangioscopy (DSOC). MBSDeiT accurately identified qualified images and predicted MBSs with superior performance compared to expert and novice endoscopists. The AI predictions were significantly associated with specific endoscopic features, increasing the interpretability of the system.

GASTROINTESTINAL ENDOSCOPY (2023)

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Review Gastroenterology & Hepatology

Cholangioscopy-guided electrohydraulic lithotripsy versus laser lithotripsy for the treatment of choledocholithiasis: a systematic review

Anna Cecilia Amaral et al.

Summary: Endoscopic management of large bile duct stones can be difficult, but per-oral cholangioscopy-guided electrohydraulic lithotripsy or laser lithotripsy has been increasingly used. This study aimed to compare the efficacy of these two techniques. The results showed that laser lithotripsy had a higher stone clearance success rate compared to electrohydraulic lithotripsy.

SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY (2023)

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Article Gastroenterology & Hepatology

Cholangioscopy-assisted extraction through novel papillary support for small-calibre and sediment-like common bile duct stones

Wen-Gang Zhang et al.

Summary: This study introduced a novel technique called cholangioscopy-assisted extraction through a novel papillary support (CEPTS) for the treatment of small-calibre or sediment-like common bile duct (CBD) stones. The feasibility and safety of this technique were assessed and it was found to be suitable for special patient groups such as pregnant women and those on anticoagulation/anti-platelet therapy.

WORLD JOURNAL OF GASTROENTEROLOGY (2023)

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Editorial Material Gastroenterology & Hepatology

Incorporating Artificial Intelligence Into Gastroenterology Practices

Cesare Hassan et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2023)

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Review Medicine, General & Internal

A Comprehensive Review on Bariatric Endoscopy: Where We Are Now and Where We Are Going

Aurelio Mauro et al.

Summary: Obesity is a chronic disease that can lead to various health problems. Bariatric surgeries like RYGB and SG are the most effective options for weight loss when other treatments fail. In recent years, bariatric endoscopy has emerged as an alternative to surgery, with procedures such as intragastric balloons and endoscopic gastroplasty showing effectiveness in inducing weight loss. Other novel endoscopic systems aim to improve both weight loss and metabolic conditions. Revisional endoscopic therapies are performed to address weight regain after bariatric surgery, with techniques like APC-TORe and Re-EndoSleeve showing promise. This review explores the efficacy and safety of primary and revisional endoscopic bariatric therapies and their potential application in clinical practice.

MEDICINA-LITHUANIA (2023)

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Article Gastroenterology & Hepatology

Digital Single-operator Cholangioscopy (DSOC) Improves Interobserver Agreement (IOA) and Accuracy for Evaluation of Indeterminate Biliary Strictures The Monaco Classification

Amrita Sethi et al.

Summary: The aim of this study was to define terminology for visual diagnosis of biliary lesions and develop a model for optimizing the diagnostic performance of digital single-operator cholangioscopy (DSOC). The study identified 8 visual criteria for biliary lesions using the Monaco Classification and found improved interobserver agreement and diagnostic accuracy rates for DSOC.

JOURNAL OF CLINICAL GASTROENTEROLOGY (2022)

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Editorial Material Surgery

Percutaneous SpyGlass cholangioscopy for treatment of intrahepatic bile duct calculi

Melissa Wright et al.

ANZ JOURNAL OF SURGERY (2022)

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Review Gastroenterology & Hepatology

Comparative diagnostic performance of end-cutting fine-needle biopsy needles for EUS tissue sampling of solid pancreatic masses: a network meta-analysis

Paraskevas Gkolfakis et al.

Summary: This study conducted a systematic review and network meta-analysis to compare the diagnostic accuracy of different FNB needles for tissue sampling of solid pancreatic lesions. The results showed that Franseen and Fork-tip needles had the highest performance in terms of accuracy and sample adequacy, especially the 22-gauge size.

GASTROINTESTINAL ENDOSCOPY (2022)

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Article Gastroenterology & Hepatology

More Endoscopy-Based Brushing Passes Improve the Detection of Malignant Biliary Strictures: A Multicenter Randomized Controlled Trial

Junjun Wang et al.

Summary: Endoscopic biliary brushing is commonly used for sampling in patients with malignant biliary strictures, but its sensitivity is relatively low. This study found that brushing 30 times in 1 specimen can increase diagnostic sensitivity without increasing complications, making it preferred for endoscopic sampling and diagnosis of MBSs.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2022)

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Article Gastroenterology & Hepatology

Difficult biliary cannulation in patients with distal malignant biliary obstruction: An underestimated problem?

Alessandro Fugazza et al.

Summary: Patients with distal malignant biliary obstruction (DMBO) have a higher risk of difficult biliary cannulation (DBC) and require alternative techniques for biliary drainage. Additionally, DBC carries a high risk for adverse events (AEs).

DIGESTIVE AND LIVER DISEASE (2022)

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Review Gastroenterology & Hepatology

Artificial Intelligence in Endoscopy

Yutaka Okagawa et al.

Summary: AI is rapidly developing in various medical fields, particularly in gastrointestinal endoscopy where research is increasing. The application of convolutional neural network has the potential to revolutionize the field, with focuses on cancer detection, depth of cancer invasion, and various diseases in esophagus, stomach, CE, and colonoscopy. Most studies are still in the preclinical stages, but video-based prospective studies are needed to advance the field for daily clinical practice.

DIGESTIVE DISEASES AND SCIENCES (2022)

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Article Gastroenterology & Hepatology

Artificial intelligence for automatic diagnosis of biliary stricture malignancy status in single-operator cholangioscopy: a pilot study

Miguel Mascarenhas Saraiva et al.

Summary: The study developed a CNN-based system for automatic detection of malignant biliary strictures in DSOC images. The system showed high accuracy, sensitivity, and specificity in cross-validation analysis, indicating that the introduction of artificial intelligence algorithms can significantly improve the diagnostic yield for malignant strictures in DSOC systems.

GASTROINTESTINAL ENDOSCOPY (2022)

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Article Gastroenterology & Hepatology

Digital single-operator cholangioscopy interobserver study using a new classification: the Mendoza Classification (with video)

Michel Kahaleh et al.

Summary: The use of digital single-operator cholangioscopy (DSOC) with newly refined criteria has shown a significant increase in diagnostic accuracy and interobserver agreement (IOA) compared to previous criteria. The reference atlas aids in training and improves diagnostic accuracy for DSOC.

GASTROINTESTINAL ENDOSCOPY (2022)

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Article Gastroenterology & Hepatology

Digital single-operator cholangioscopy in diagnostic and therapeutic bilio-pancreatic diseases: A prospective, multicenter study

Alessandro Fugazza et al.

Summary: Digital single-operator cholangioscopy (D-SOC) is an effective and safe procedure for the management of bilio-pancreatic diseases. It has high success rates in both diagnostic and therapeutic indications, with good sensitivity and specificity in visual assessment and biopsy. However, the occurrence of adverse events, including a fatal event, should be considered before using D-SOC.

DIGESTIVE AND LIVER DISEASE (2022)

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Editorial Material Gastroenterology & Hepatology

Endoscopic ultrasound (EUS)-guided antegrade intervention for a hepaticojejunostomy anastomosis obstruction under peroral cholangioscopy via an EUS-guided hepaticogastrostomy route

Keisuke Yonamine et al.

ENDOSCOPY (2022)

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Review Gastroenterology & Hepatology

Relief of jaundice in malignant biliary obstruction: When should we consider endoscopic ultrasonography-guided hepaticogastrostomy as an option?

Alessandro Fugazza et al.

Summary: This review included 22 studies on EUS-guided hepaticogastrostomy (EUS-HGS), involving a total of 874 patients. The results showed a technical success rate of about 96% and a clinical success rate of about 91%. The overall rate of adverse events was 19%. Abdominal pain and cholangitis were the most common adverse events. Despite its safety and efficacy, EUS-HGS remains a challenging procedure that should be performed by experienced endoscopists.

HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL (2022)

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Article Gastroenterology & Hepatology

Consensus guidelines on the role of cholangioscopy to diagnose indeterminate biliary stricture

Phonthep Angsuwatcharakon et al.

Summary: This study aims to develop a consensus statement regarding the clinical role of cholangioscopy in the diagnosis of indeterminate biliary strictures. Nine final statements were formulated by international experts, which suggest that cholangioscopy has an adjunct role to evaluate and diagnose indeterminate biliary strictures.

HPB (2022)

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Article Gastroenterology & Hepatology

Digital single-operator video cholangioscopy improves endoscopic management in patients with primary sclerosing cholangitis-a retrospective observational study

Arne Bokemeyer et al.

Summary: Digital single-operator video cholangioscopy (SOVC) is effective and safe for the endoscopic management of patients with primary sclerosing cholangitis (PSC), and it can be considered as an additive tool for the complex endoscopic management of these patients.

WORLD JOURNAL OF GASTROENTEROLOGY (2022)

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Article Multidisciplinary Sciences

Diagnostic accuracy of probe-based confocal laser endomicroscopy and tissue sampling by endoscopic retrograde cholangiopancreatography in indeterminate biliary strictures: a meta-analysis

Junjie Mi et al.

Summary: Probe-based confocal laser endomicroscopy (pCLE), a new endoscopic technique, provides real-time magnification of microscopic tissue information to diagnose indeterminate biliary strictures. Compared to tissue sampling by endoscopic retrograde cholangiopancreatography (ERCP), pCLE has higher sensitivity, specificity, and diagnostic odds ratio for the diagnosis of indeterminate biliary strictures, and can improve the accuracy of diagnosis by providing real-time microscopic images of the bile ducts.

SCIENTIFIC REPORTS (2022)

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Review Gastroenterology & Hepatology

Diagnostic value of serum carbohydrate antigen 19-9 in pancreatic cancer: a systematic review and meta-analysis

Boqiang Zhao et al.

Summary: Carbohydrate antigen 19-9 (CA19-9) is a widely used serum biomarker for detecting pancreatic cancer. This study comprehensively evaluated the diagnostic efficacy of CA19-9 and found that it has high sensitivity, specificity, and accuracy in diagnosing pancreatic cancer, making it valuable for early detection and warning.

EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY (2022)

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Review Gastroenterology & Hepatology

The Role of Cholangioscopy and EUS in the Evaluation of Indeterminate Biliary Strictures

Wilson Siu et al.

Summary: Bile duct stenosis is a diagnostic challenge for clinicians. Early determination of the nature of the stricture is crucial to avoid delays in treatment or surgery. Conventional endoscopic methods have suboptimal diagnostic yield, and a multidisciplinary approach, including cholangioscopy and endoscopic ultrasound, is often needed to reach a final diagnosis. This article discusses recent advancements in using cholangioscopy and endoscopic ultrasound to diagnose biliary strictures.

GASTROENTEROLOGY INSIGHTS (2022)

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Article Medicine, General & Internal

Difficult Biliary Stones: A Comprehensive Review of New and Old Lithotripsy Techniques

Edoardo Troncone et al.

Summary: Biliary stones are the most common indication for therapeutic endoscopic retrograde cholangiopancreatography. Standard techniques can successfully manage many cases, but more complex conditions may require alternative approaches such as mechanical lithotripsy, endoscopic papillary large balloon dilation, or single-operator cholangioscopy with laser or electrohydraulic lithotripsy.

MEDICINA-LITHUANIA (2022)

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Review Gastroenterology & Hepatology

Confocal laser endomicroscopy in gastro-intestinal endoscopy: technical aspects and clinical applications

Nastazja Dagny Pilonis et al.

Summary: Confocal laser endomicroscopy (CLE) is an advanced endoscopic imaging technology that provides a magnified, cellular level view of gastrointestinal epithelia. It has moderate to high diagnostic accuracy for neoplastic and inflammatory conditions through the gastrointestinal tract. CLE can resolve diagnostic dilemmas in cases where conventional imaging fails and reduce the need for extensive tissue sampling. However, limitations include a narrow field of view, high capital costs, and specialized operator training requirements.

TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY (2022)

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Review Gastroenterology & Hepatology

Efficacy and safety of peroral cholangioscopy with intraductal lithotripsy for difficult biliary stones: a systematic review and meta-analysis

Thomas R. McCarty et al.

Summary: The study demonstrated that peroral cholangioscopy with intraductal lithotripsy is a relatively safe and effective modality for difficult biliary stones. The overall stone fragmentation success rate was high, with laser lithotripsy showing advantages in single-session fragmentation rate and procedure time compared to electrohydraulic lithotripsy.

ENDOSCOPY (2021)

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Article Surgery

Percutaneous transhepatic cholangioscopy using a single-operator cholangioscope (pSOC), a retrospective, observational, multicenter study

Christian Gerges et al.

Summary: The study demonstrates that percutaneous single-operator cholangioscopy (pSOC) is a feasible, safe, and effective technique for diagnostic and therapeutic indications in cholangioscopy. The success rate of technical procedures is high, with high accuracy reported in histopathology and visual impressions, while the rate of adverse events is low.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2021)

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Letter Gastroenterology & Hepatology

Digital cholangioscopy-guided cold snare resection of an inflammatory intraductal pseudopolyp

Michiel Bronswijk et al.

DIGESTIVE ENDOSCOPY (2021)

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Editorial Material Gastroenterology & Hepatology

Percutaneous cholangioscopy with short Spyscope combined with endoscopic retrograde cholangiography in case of difficult intrahepatic bile duct stone

Laurent Monino et al.

DIGESTIVE ENDOSCOPY (2021)

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Article Gastroenterology & Hepatology

Factors affecting the diagnostic yield of endoscopic transpapillary forceps biopsy in patients with malignant biliary strictures

Min Jae Yang et al.

Summary: This study evaluated the factors associated with a positive cancer diagnosis from transpapillary biliary forceps biopsy (TBFB) and found that bile duct cancer, intraductal growing type, and five or more tissue samples were significant predictors of positive TBFB results. Increasing the number of tissue samples by five or more led to higher sensitivity in patients with bile duct cancer with the periductal infiltrating type.

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY (2021)

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Article Medicine, General & Internal

Percutaneous Transhepatic Electrohydraulic Lithotripsy for the Treatment of Difficult Bile Stones

Anna Maria Ierardi et al.

Summary: The study evaluated the efficacy and safety of percutaneous transhepatic lithotripsy using an electro-hydraulic system in two patients with difficult bile stones, showing successful procedures with no major complications, indicating the technique's effectiveness and safety.

JOURNAL OF CLINICAL MEDICINE (2021)

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Editorial Material Gastroenterology & Hepatology

Direct peroral cholangioscopy with narrow band imaging via endoscopic ultrasound-guided hepaticogastrostomy route in malignant choledochojejunostomy anastomotic stricture

Koichiro Mandai et al.

DIGESTIVE ENDOSCOPY (2021)

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Article Gastroenterology & Hepatology

Endoscopic tissue sampling - Part 1: Upper gastrointestinal and hepatopancreatobiliary tracts. European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Roos E. Pouw et al.

ENDOSCOPY (2021)

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Article Gastroenterology & Hepatology

Diagnostic accuracy and interobserver agreement of digital single-operator cholangioscopy for indeterminate biliary strictures

Pauline M. C. Stassen et al.

Summary: The study found that d-SOC had low sensitivity and specificity for visually appraising indeterminate biliary strictures, with significant interobserver variation. Although reaching a consensus on the optical features of biliary strictures remains important, optimizing visually directed biopsy sampling may be the most important role of cholangioscopy in biliary stricture assessment.

GASTROINTESTINAL ENDOSCOPY (2021)

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Review Medicine, General & Internal

Biliopancreatic Endoscopy in Altered Anatomy

Ilaria Tarantino et al.

Summary: This systematic review examined available biliopancreatic endoscopic techniques in altered post-surgical anatomy of the upper GI tract. Various successful techniques, with high success rates and low adverse events, have been developed over the years for biliopancreatic diseases. Researchers recommend considering novel techniques when performing biliopancreatic endoscopy in patients with altered anatomy.

MEDICINA-LITHUANIA (2021)

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Article Gastroenterology & Hepatology

Early cholangioscopy-assisted electrohydraulic lithotripsy in difficult biliary stones is cost-effective

Saad Alrajhi et al.

Summary: The study compares the cost-effectiveness of different timings for introducing single-operator cholangioscopy-assisted electrohydraulic lithotripsy (SOC-EHL) in the management of difficult choledocholithiasis. The results show that performing SOC-EHL during the first endoscopic retrograde cholangiography pancreatography (ERCP) is the least expensive strategy, while postponing it to the third ERCP is more expensive but more effective. Sensitivity analyses suggest that early SOC-EHL is the most optimal approach below a willingness-to-pay cut-off of US$20,295.

THERAPEUTIC ADVANCES IN GASTROENTEROLOGY (2021)

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Editorial Material Gastroenterology & Hepatology

Endoscopic ultrasonography-guided hepaticogastrostomy with novel two-step puncture technique following peroral cholangioscopy-assisted stone removal

Shuntaro Mukai et al.

DIGESTIVE ENDOSCOPY (2020)

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Article Gastroenterology & Hepatology

Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures: a prospective, randomized, multicenter trial

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Efficacy of Single-Operator Cholangioscopy-Guided Lithotripsy Compared With Large Balloon Sphincteroplasty in Management of Difficult Bile Duct Stones in a Randomized Trial

Ji Young Bang et al.

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Article Gastroenterology & Hepatology

Limited diagnostic accuracy and clinical impact of single-operator peroral cholangioscopy for indeterminate biliary strictures

Adriaan B. de Vries et al.

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ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Jean-Marc Dumonceau et al.

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Digital cholangioscopy-guided retrieval of a migrated hepaticogastrostomy stent through a created hepaticogastrostomy route

Tomotaka Saito et al.

ENDOSCOPY (2020)

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Using single-operator cholangioscopy for endoscopic evaluation of indeterminate biliary strictures: results from a large multinational registry

Majid A. Almadi et al.

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A direct peroral cholangioscopy-assisted therapy for a choledochojejunostomy anastomotic stricture via EUS-guided hepaticogastrostomy

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JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2020)

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Efficacy of digital single-operator cholangioscopy in the visual interpretation of indeterminate biliary strictures: a systematic review and meta-analysis

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Laparoscopic Common Bile Duct Exploration Using a Single-Operator Cholangioscope

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Efficacy and Safety of Digital Single-Operator Cholangioscopy in the Diagnosis of Indeterminate Biliary Strictures by Targeted Biopsies: A Systematic Review and Meta-Analysis

Li-Jia Wen et al.

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Review Emergency Medicine

2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis

Michele Pisano et al.

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Digital cholangioscopy-guided laser versus mechanical lithotripsy for large bile duct stone removal after failed papillary large-balloon dilation: a randomized study

Phonthep Angsuwatcharakon et al.

ENDOSCOPY (2019)

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Editorial Material Gastroenterology & Hepatology

Peroral intraductal cholangioscopy-guided laser lithotripsy via endoscopic ultrasound-guided hepaticogastrostomy for intrahepatic bile duct lithiasis

Adrien Sportes et al.

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Article Gastroenterology & Hepatology

Endoscopic management of common bile duct stones: European Society of Gastrointestinal Endoscopy (ESGE) guideline

Gianpiero Manes et al.

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Lumen-apposing metal stents for malignant biliary obstruction: Is this the ultimate horizon of our experience?

Andrea Anderloni et al.

WORLD JOURNAL OF GASTROENTEROLOGY (2019)

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Marc Giovannini

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Article Gastroenterology & Hepatology

The economic impact of using single-operator cholangioscopy for the treatment of difficult bile duct stones and diagnosis of indeterminate bile duct strictures

Pierre H. Deprez et al.

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Article Gastroenterology & Hepatology

Efficacy and Safety of Digital Single-Operator Cholangioscopy for Difficult Biliary Stones

Olaya I. Brewer Gutierrez et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2018)

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Intrabiliary argon plasma coagulation hemostasis by direct cholangioscopy for a tricky post-ERCP bleeding

Andrea Anderloni et al.

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A systematic review of advanced endoscopy-assisted lithotripsy for retained biliary tract stones: laser, electrohydraulic or extracorporeal shock wave

Joyce V. Veld et al.

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Intrabiliary resection of metastasis originating from colorectal carcinoma during direct peroral cholangioscopy: a new tool for biliary palliation

Andrea Anderloni et al.

ENDOSCOPY (2018)

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Article Gastroenterology & Hepatology

Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos)

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Comparison of diagnostic efficacy between CLE, tissue sampling, and CLE combined with tissue sampling for undetermined pancreaticobiliary strictures: a meta-analysis

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SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY (2018)

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Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with gallbladder stones with common bile duct stones: systematic review and meta-analysis of randomized trials with trial sequential analysis

Anand Narayan Singh et al.

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Recanalization for Tight Bile Duct-Jejunum Anastomosis Stricture Using Peroral Transliminal Cholangioscopy (with Video)

Takeshi Ogura et al.

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Article Gastroenterology & Hepatology

Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017

Jean-Marc Dumonceau et al.

ENDOSCOPY (2018)

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Reliability and accuracy of a novel classification system using peroral cholangioscopy for the diagnosis of bile duct lesions

Carlos Robles-Medranda et al.

ENDOSCOPY (2018)

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Editorial Material Gastroenterology & Hepatology

Intrahepatic bile duct stone removal through endoscopic ultrasound-guided hepaticogastrostomy using novel basket catheter under digital cholangioscopy guidance

Takeshi Ogura et al.

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Endoscopic ultrasound-guided hepaticogastrostomy and antegrade clearance of biliary lithiasis in patients with surgically-altered anatomy

Amy Hosmer et al.

ENDOSCOPY INTERNATIONAL OPEN (2018)

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Editorial Material Gastroenterology & Hepatology

Hilar cholangiocarcinoma diagnosed by endoscopic ultrasound-guided hepatico-gastrostomy and cholangioscopy

Theodore W. James et al.

ENDOSCOPY (2017)

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Article Gastroenterology & Hepatology

Role of endoscopy in primary sclerosing cholangitis: European Society of Gastrointestinal Endoscopy (ESGE) and European Association for the Study of the Liver (EASL) Clinical Guideline

Lars Aabakken et al.

ENDOSCOPY (2017)

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Review Gastroenterology & Hepatology

Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis

Reem Z. Sharaiha et al.

GASTROINTESTINAL ENDOSCOPY (2017)

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Article Gastroenterology & Hepatology

Endoscopic ultrasound-guided hepaticogastrostomy versus percutaneous transhepatic drainage for malignant biliary obstruction after failed endoscopic retrograde cholangiopancreatography: a retrospective expertise-based study from two centers

Adrien Sportes et al.

THERAPEUTIC ADVANCES IN GASTROENTEROLOGY (2017)

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Article Gastroenterology & Hepatology

Evaluation of the safety of endoscopic radiofrequency ablation for malignant biliary stricture using a digital peroral cholangioscope (with videos)

Takeshi Ogura et al.

DIGESTIVE ENDOSCOPY (2017)

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Review Gastroenterology & Hepatology

Evaluation of indeterminate biliary strictures

Christopher L. Bowlus et al.

NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY (2016)

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Editorial Material Gastroenterology & Hepatology

Peroral transhepatic cholangioscopy-guided electrohydraulic lithotripsy via an endoscopic ultrasonography-guided hepaticogastrostomy route for bile duct stones in a patient with Roux-en-Y anatomy

Hiroshi Kawakami et al.

ENDOSCOPY (2016)

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Article Gastroenterology & Hepatology

Usefulness of single-operator cholangioscopy-guided laser lithotripsy in patients with Mirizzi syndrome and cystic duct stones: experience at a tertiary care center

Suryaprakash Bhandari et al.

GASTROINTESTINAL ENDOSCOPY (2016)

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Editorial Material Gastroenterology & Hepatology

New digital cholangioscopy-guided removal of a transpapillary plastic stent through the hepaticogastrostomy route

Reina Tanaka et al.

GASTROINTESTINAL ENDOSCOPY (2016)

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Review Gastroenterology & Hepatology

Diagnostic yield of EUS-guided FNA for malignant biliary stricture: a systematic review and meta-analysis

Anahita Sadeghi et al.

GASTROINTESTINAL ENDOSCOPY (2016)

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Review Gastroenterology & Hepatology

The efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures: a systematic review and meta-analysis

Praneet Korrapati et al.

ENDOSCOPY INTERNATIONAL OPEN (2016)

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Article Gastroenterology & Hepatology

Endoscopic versus laparoscopic treatment for choledocholithiasis: a prospective randomized controlled trial

Javier Ernesto Barreras Gonzalez et al.

ENDOSCOPY INTERNATIONAL OPEN (2016)

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Article Gastroenterology & Hepatology

Percutaneous endoscopic management of intrahepatic stones in patients with altered biliary anatomy: A case series

Suryaprakash Bhandari et al.

INDIAN JOURNAL OF GASTROENTEROLOGY (2016)

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Article Gastroenterology & Hepatology

Percutaneous transhepatic cholangioscopy for indeterminate biliary strictures using the SpyGlass system: a case series

Lillian Du et al.

ENDOSCOPY (2015)

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Article Gastroenterology & Hepatology

Prospective evaluation of the clinical utility of single-operator peroral cholangioscopy in patients with primary sclerosing cholangitis

Urban Arnelo et al.

ENDOSCOPY (2015)

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Article Gastroenterology & Hepatology

Comparative effectiveness of biliary brush cytology and intraductal biopsy for detection of malignant biliary strictures: a systematic review and meta-analysis

Udayakumar Navaneethan et al.

GASTROINTESTINAL ENDOSCOPY (2015)

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Article Gastroenterology & Hepatology

A Comparative Evaluation of EUS-Guided Biliary Drainage and Percutaneous Drainage in Patients with Distal Malignant Biliary Obstruction and Failed ERCP

Mouen A. Khashab et al.

DIGESTIVE DISEASES AND SCIENCES (2015)

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Article Radiology, Nuclear Medicine & Medical Imaging

Percutaneous Transhepatic Cholangioscopy

Sameer Ahmed et al.

TECHNIQUES IN VASCULAR AND INTERVENTIONAL RADIOLOGY (2015)

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Article Gastroenterology & Hepatology

Improved endoscopic retrograde cholangiopancreatography brush increases diagnostic yield of malignant biliary strictures

Frederick K. Shieh et al.

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY (2014)

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Article Gastroenterology & Hepatology

Intraductal biliary polypectomy performed with a nasogastroscope

Anne Druez et al.

ENDOSCOPY INTERNATIONAL OPEN (2014)

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Editorial Material Gastroenterology & Hepatology

Peroral Cholangioscopy: Diagnostic and Therapeutic Applications

Jong Ho Moon et al.

GASTROENTEROLOGY (2013)

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Editorial Material Gastroenterology & Hepatology

Biliary complications following liver transplantation

Gursimran Kochhar et al.

WORLD JOURNAL OF GASTROENTEROLOGY (2013)

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Review Gastroenterology & Hepatology

Percutaneous Transhepatic Cholangioscopy: Does Its Role Still Exist?

Joon Hyuk Choi et al.

CLINICAL ENDOSCOPY (2013)

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Article Biochemistry & Molecular Biology

Photodynamic therapy for unresectable cholangiocarcinoma: contribution of single operator cholangioscopy for targeted treatment

Jayant P. Talreja et al.

PHOTOCHEMICAL & PHOTOBIOLOGICAL SCIENCES (2011)

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Article Surgery

Long-term follow-up after peroral cholangioscopy-directed lithotripsy in patients with difficult bile duct stones, including Mirizzi syndrome: an analysis of risk factors predicting stone recurrence

Toshio Tsuyuguchi et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2011)

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Editorial Material Gastroenterology & Hepatology

Intraoperative ERCP: What role does it have in the era of laparoscopic cholecystectomy?

Luis R. Rabago et al.

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY (2011)

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Article Gastroenterology & Hepatology

EVALUATION OF RESIDUAL BILE DUCT STONES BY PERORAL CHOLANGIOSCOPY IN COMPARISON WITH BALLOON-CHOLANGIOGRAPHY

Takao Itoi et al.

DIGESTIVE ENDOSCOPY (2010)

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Article Surgery

Laparoscopic common bile duct exploration and holmium laser lithotripsy: a novel approach to the management of common bile duct stones

Oliver Varban et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2010)

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Article Gastroenterology & Hepatology

Risk factors for complications after ERCP: a multivariate analysis of 11,497 procedures over 12 years

Peter B. Cotton et al.

GASTROINTESTINAL ENDOSCOPY (2009)

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Article Gastroenterology & Hepatology

Detection of cholangiocarcinoma in vivo using miniprobe-based confocal fluorescence microscopy

Alexander Meining et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2008)

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Article Gastroenterology & Hepatology

Factors influencing the technical difficulty of endoscopic clearance of bile duct stones

Hong Joo Kim et al.

GASTROINTESTINAL ENDOSCOPY (2007)

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Article Gastroenterology & Hepatology

In vivo histopathology for detection of gastrointestinal neoplasia with a portable, Confocal miniprobe: An examiner blinded analysis

Alexander Meining et al.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2007)

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Article Gastroenterology & Hepatology

SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders: a clinical feasibility study (with video)

Yang K. Chen et al.

GASTROINTESTINAL ENDOSCOPY (2007)

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Article Gastroenterology & Hepatology

Cholangioscopic characterization of dominant bile duct stenoses in patients with primary sclerosing cholangitis

J. J. W. Tischendorf et al.

ENDOSCOPY (2006)

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Article Gastroenterology & Hepatology

Endoscopic direct cholangioscopy by using an ultra-slim upper endoscope: a feasibility study

A Larghi et al.

GASTROINTESTINAL ENDOSCOPY (2006)

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Article Surgery

Laparoscopic transcystic duct common bile duct exploration

S Lyass et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2006)

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Review Medicine, General & Internal

Magnetic resonance cholangiopancreatography: A meta-analysis of test performance in suspected biliary disease

J Romagnuolo et al.

ANNALS OF INTERNAL MEDICINE (2003)

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Article Cardiac & Cardiovascular Systems

Percutaneous cholangioscopy in the management of biliary disease: Experience in 25 patients

AA Hatzidakis et al.

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY (2000)

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