Published In
Turkish Journal of Gastroenterology
Volume 30 · Issue 12
Pages: 1044-1054
History
Published Online: December 15, 2019
Copyright © 2019 Sadettin Hülagü, Göktuğ Şirin, Ali Erkan Duman, Hasan Yılmaz
Sadettin Hülagü
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Göktuğ Şirin
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Ali Erkan Duman
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Hasan Yılmaz
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Hülagü, S., Şirin, G., Duman, A. E., & Yılmaz, H. (2019). Use of SpyGlass for peroral cholangioscopy in the diagnosis and treatment of hepatobiliary diseases in over five years follow-up: A single centre experience. Turkish Journal of Gastroenterology, 30(12), 1044–1054. https://doi.org/10.5152/tjg.2019.19199
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Abstract
Background/Aims: The use of cholangioscopy for the diagnosis and treatment of hepatobiliary diseases is gradually becoming more common. We aimed to review our peroral cholangioscopy interventions, using the first-generation SpyGlass Direct Visualization System (SDVS) and summarize our experience in terms of procedures and results.
Materials and Methods: Forty-one patients who underwent this procedure at our Gastroenterology Clinic between February 2010 and October 2014 were included in this study. Patients were monitored for a median (IQR) of 44 (range 38–72) months. Demographic characteristics of these patients, results of the radiological and biochemical evaluation performed prior to the procedure, cholangioscopy findings together with the data relating to the procedure, histopathological diagnosis, clinical findings and results, and their effects on patient prognosis were assessed.
Results: In total, 41 patients underwent 46 cholangioscopy procedures. Of them, 21 (51.2%) were male. The most frequent clinical indications for cholangioscopy was the need to further investigate indeterminate stricture (n=16; 39%) and indeterminate filling defect (n=7; 17.1%). The procedure was considered successful in 39 patients with 41 (95.1%) receiving diagnostic and 33 (80.5%) receiving therapeutic benefits. The sensitivity and specificity for SVDS-guided biopsies and brush cytology were 80% and 87.5%; 26.6% and 75%, respectively. Complications related to the procedure occurred in a total of three patients (7.3%), two with cholangitis and one with perforation of gall bladder.
Conclusion: Our experience shows that cholangioscopy procedures, performed with SDVS, are clinically applicable and safe in the diagnosis and treatment of hepatobiliary diseases.
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Article Info
Published In
Journal
Turkish Journal of Gastroenterology
Volume / Issue
Volume 30 · Issue 12
Pages
1044-1054
History
Published Online
December 15, 2019
Copyright
Copyright (c) 2019 Sadettin Hülagü, Göktuğ Şirin, Ali Erkan Duman, Hasan Yılmaz
Affiliations
Sadettin Hülagü
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Göktuğ Şirin
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Ali Erkan Duman
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Hasan Yılmaz
Departments of Gastroenterology and Pathology, Kocaeli University School of Medicine, İzmit
Cite this Article
Hülagü, S., Şirin, G., Duman, A. E., & Yılmaz, H. (2019). Use of SpyGlass for peroral cholangioscopy in the diagnosis and treatment of hepatobiliary diseases in over five years follow-up: A single centre experience. Turkish Journal of Gastroenterology, 30(12), 1044–1054. https://doi.org/10.5152/tjg.2019.19199
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