SEED Consensus Document on SpyGlass-DS

• Published in: Gastroenterología y hepatología Vol. 46; no. 1; p. 69
• Main Authors: Sánchez-Ocaña, Ramón, Foruny Olcina, José Ramón, Vila Costas, Juan, Gallego Rojo, Francisco, Jiménez Pérez, Javier, Domínguez-Muñoz, Enrique, González Huix, Ferrán, Pons Beltrán, Vicente, Gornals Soler, Joan, Sánchez Hernández, Eloy, Gómez Oliva, Cristina, Dolz Abadía, Carlos, Aparicio Tormo, José Ramón
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 01-01-2023
• Subjects: Cholangiopancreatography, Endoscopic Retrograde - methods; Cholestasis; Consensus; Endoscopy, Gastrointestinal; Humans; Pancreas; Pancreatolithiasis; Colangiopancreatoscopia; Colangioscopia; Intraductal papillary mucinous neoplasm; Cholangiopancreatoscopy; Biliary stricture; Cholangioscopy; Neoplasia mucinosa papilar intraductal; Cálculo difícil; Pancreatolitiasis; Estenosis conducto pancreático; Pancreatic duct stricture; Difficult biliary stones; Estenosis biliar
• ISSN: 0210-5705
• DOI: 10.1016/j.gastrohep.2022.08.012

Endoscopic retrograde cholangiopancreatography (ERCP) is the technique of choice for the treatment of biliopancreatic pathology. However, fluoroscopic imaging does not always allow an adequate diagnosis. On the other hand, some large stones cannot be removed by the usual methods. In these situations, cholangioscopy has proven to be an essential tool for the diagnosis of biliary strictures and the treatment of large stones. Its role in pancreatic pathology is also increasing. The development of a single-operator, disposable cholangioscope has made it possible to expand the technique to a large number of hospitals that perform ERCP. For this reason, the Spanish Society of Digestive Endoscopy has developed this consensus document on the use of the Spyglass-DS cholangioscope. The document has been prepared by a group of endoscopists with expertise in cholangioscopy, reviewing the scientific evidence on the main current indications for cholangiopancreatoscopy.