Application of SpyGlassTM DS Direct Visualization System in the diagnosis and treatment of biliary tract diseases
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摘要:
由于胆道疾病诊断及微创治疗的需要,近年来经口胆道镜检查已经成为胆道疾病的重要诊疗手段,避免了一些侵入性和不必要的外科手术。介绍了新型SpyGlassTMDS内镜直视化系统的临床应用优势以及其胆道适应证和可能的并发症。SpyGlassTM DS具有胆道成像、直视下活检等优势,在许多胆道疾病的诊疗中均可发挥重要作用,尤其是可以提高性质不明胆道狭窄的诊断准确性和复杂胆管结石的手术治疗成功率、结石清除率,其并发症发生率与常规经内镜逆行胰胆管造影无明显差异,安全有效,是对标准内镜诊疗手段的良好补充。
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关键词:
- 胆道疾病 /
- 胰胆管造影术,内窥镜逆行 /
- SpyGlassTM内镜直视化系统
Abstract:Due to the need of the diagnosis and minimally invasive treatment of biliary tract diseases,peroral choledochoscopy has recently become an important method for the diagnosis and treatment of biliary tract diseases,which helps to avoid some invasive and unnecessary surgical procedures. This article introduces the clinical advantages of SpyGlassTMDS Direct Visualization System and its indications and possible complications in biliary duct diseases. SpyGlassTMDS provides endoscopic imaging of the biliary tree and can perform biopsy under direct view,and thus it plays an important role in the diagnosis and treatment of biliary tract diseases. In particular,it can improve the diagnostic accuracy of biliary stricture with unknown nature and the surgical success rate and stone clearance rate of complex bile duct stones,with similar incidence rates of complications as conventional endoscopic retrograde cholangiopancreatography. SpyGlassTMDS is a safe and effective procedure and supplements the standard endoscopic diagnosis and treatment.
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[1]SINGH A,GELRUD A,AGARWAL B.Biliary strictures:Diagnostic considerations and approach[J].Gastroenterol Rep(Oxf),2015,3(1):22-31. [2]ERIM T,SHIROKY J,PLESKOW DK.Cholangioscopy:The biliary tree never looked so good![J].Curr Opin Gastroenterol,2013,29(5):501-508. [3]XU MM,KAHALEH M.Recent developments in choledochoscopy:Technical and clinical advances[J].Clin Exp Gastroenterol,2016,9:119-124. [4]DRAGANOV P.The SpyGlass~®direct visualization system for cholangioscopy[J].Gastroenterol Hepatol(N Y),2008,4(7):469-470. [5]CHEN YK,PLESKOW DK.SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders:A clinical feasibility study(with video)[J].Gastrointest Endosc,2007,65(6):832-841. [6]NAVANEETHAN U,HASAN MK,KOMMARAJU K,et al.Digital,single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders:A multicenter clinical experience(with video)[J].Gastrointest Endosc,2016,84(4):649-655. [7]LALEMAN W,VERRAES K,van STEENBERGEN W,et al.Usefulness of the single-operator cholangioscopy system SpyGlass in biliary disease:A single-center prospective cohort study and aggregated review[J].Surg Endosc,2017,31(5):2223-2232. [8]REUTERWALL M,LUBBE J,ENOCHSSON L,et al.The clinical value of ERCP-guided cholangiopancreatoscopy using a single-operator system[J].BMC Gastroenterol,2019,19(1):35. [9]TSAPAKI V,PAPASTERGIOU V,GIANNAKOPOULOS A,et al.Management of difficult bile duct stones and indeterminate bile duct structures:Reduced ERCP radiation exposure with adjunct use of digital single-operator cholangioscopy[J].Phys Med,2019,64:69-73. [10]WANG J,CHEN W.Treatment strategies of complicated extrahepatic bileduct stones[J].Chin J Dig Surg,2019,18(12):1113-1117.(in Chinese)王坚,陈炜.复杂肝外胆管结石的治疗策略[J].中华消化外科杂志,2019,18(12):1113-1117. [11]SANDHA J,van ZANTEN SV,SANDHA G.The safety and efficacy of single-operator cholangioscopy in the treatment of difficult common bile duct stones after failed conventional ERCP[J].J Can Assoc Gastroenterol,2018,1(4):181-190. [12]BOKEMEYER A,GERGES C,LANG D,et al.Digital singleoperator video cholangioscopy in treating refractory biliary stones:A multicenter observational study[J].Surg Endosc,2020,34(5):1914-1922. [13]ASGE Technology Committee,KOMANDURI S,THOSANI N,et al.Cholangiopancreatoscopy[J].Gastrointest Endosc,2016,84(2):209-221. [14]KARAGYOZOV P,BOEVA I,TISHKOV I.Role of digital single-operator cholangioscopy in the diagnosis and treatment of biliary disorders[J].World J Gastrointest Endosc,2019,11(1):31-40. [15]MANTA R,FRAZZONI M,CONIGLIARO R,et al.SpyGlass single-operator peroral cholangioscopy in the evaluation of indeterminate biliary lesions:A single-center,prospective,cohort study[J].Surg Endosc,2013,27(5):1569-1572. [16]SHAH RJ,RAIJMAN I,BRAUER B,et al.Performance of a fully disposable,digital,single-operator cholangiopancreatoscope[J].Endoscopy,2017,49(7):651-658. [17]RAMCHANDANI M,REDDY DN,GUPTA R,et al.Role of single-operator peroral cholangioscopy in the diagnosis of indeterminate biliary lesions:A single-center,prospective study[J].Gastrointest Endosc,2011,74(3):511-519. [18]WOO YS,LEE JK,OH SH,et al.Role of SpyGlass peroral cholangioscopy in the evaluation of indeterminate biliary lesions[J].Dig Dis Sci,2014,59(10):2565-2570. [19]YAN S,TEJASWI S.Clinical impact of digital cholangioscopy in management of indeterminate biliary strictures and complex biliary stones:A single-center study[J].Ther Adv Gastrointest Endosc,2019,12:2631774519853160. [20]JANG S,STEVENS T,KOU L,et al.Efficacy of digital singleoperator cholangioscopy and factors affecting its accuracy in the evaluation of indeterminate biliary stricture[J].Gastrointest Endosc,2020,91(2):385-393.e1. [21]GAD EH,ZAKARIA H,KAMEL Y,et al.Surgical(Open and laparoscopic)management of large difficult CBD stones after different sessions of endoscopic failure:A retrospective cohort study[J].Ann Med Surg(Lond),2019,43:52-63. [22]DRAGANOV PV,LIN T,CHAUHAN S,et al.Prospective evaluation of the clinical utility of ERCP-guided cholangiopancreatoscopy with a new direct visualization system[J].Gastrointest Endosc,2011,73(5):971-979. [23]MAYDEO A,KWEK BE,BHANDARI S,et al.Single-operator cholangioscopy-guided laser lithotripsy in patients with difficult biliary and pancreatic ductal stones(with videos)[J].Gastrointest Endosc,2011,74(6):1308-1314. [24]WONG JC,TANG RS,TEOH AY,et al.Efficacy and safety of novel digital single-operator peroral cholangioscopy-guided laser lithotripsy for complicated biliary stones[J].Endosc Int Open,2017,5(1):e54-e58. [25]French comment on article Cholangioscopy-guided lithotripsy for difficult bile duct stone clearance in a single session of ERCP:Results from a large multinational registry demonstrate high success rates[J].Endoscopy,2019,51(10):1006-1007. [26]CANENA J,LOPES L,FERNANDES J,et al.Outcomes of single-operator cholangioscopy-guided lithotripsy in patients with difficult biliary and pancreatic stones[J].GE Port J Gastroenterol,2019,26(2):105-113. [27]ZHANG H,XIAO L,ZOU H,et al.Application of Spy Glass single-operator cholangioscopy system in biliopancreatic disease[J]China J Endosc,2019,25(2):1-5.(in Chinese)张航,肖乐,邹洪,等.SpyGlass直视化系统在胆管疾病诊断和治疗中的应用[J].中国内镜杂志,2019,25(2):1-5. [28]SHELTON J,LINDER JD,RIVERA-ALSINA ME,et al.Commitment,confirmation,and clearance:New techniques for nonradiation ERCP during pregnancy(with videos)[J].Gastrointest Endosc,2008,67(2):364-368. [29]NAKAI Y,KOGURE H,YAMADA A,et al.Endoscopic man-agement of bile duct stones in patients with surgically altered anatomy[J].Dig Endosc,2018,30(Suppl 1):67-74. [30]GARCES-ALBIR M,MARTI-FERNANDEZ R,MARTINEZFERNANDEZ G,et al.The role of endoscopic retrograde cholangiopancreatography in the management of iatrogenic bile duct injury after cholecystectomy[J].Rev Esp Enferm Dig,2019,111(9):690-695. [31]AVERBUKH LD,MILLER D,BIRK JW,et al.The utility of single operator cholangioscope(Spyglass)to diagnose and treat radiographically negative biliary stones:A case series and review[J].J Dig Dis,2019,20(5):262-266. [32]ZHAO S,XIA T,LI ZS,et al.Spyglass-guided pancreatic stent placement for intraductal papillary mucinous neoplasm with recurrent pancreatitis[J].Dig Liver Dis,2018,50(5):513. [33]OGAWA T,ITO K,KOSHITA S,et al.Usefulness of cholangioscopic-guided mapping biopsy using SpyGlass DS for preoperative evaluation of extrahepatic cholangiocarcinoma:A pilot study[J].Endosc Int Open,2018,6(2):e199-e204. [34]WOO YS,LEE JK,NOH DH,et al.SpyGlass cholangioscopyassisted guidewire placement for post-LDLT biliary strictures:A case series[J].Surg Endosc,2016,30(9):3897-3903. [35]GUO X,WANG HG,WANG MT,et al.Application of Spy Glass DS choledochoscopy combined with radiofrequency ablation in diagnosis and treatment of extrahepatic cholangiocarcinoma[J].China J Endosc,2019,25(8):75-79.(in Chinese)郭享,王宏光,王曼彤,等.SpyGlass DS胆道镜联合射频消融在肝外胆管癌诊治中的应用[J].中国内镜杂志,2019,25(8):75-79. [36]di MITRI R,MOCCIARO F,BONACCORSO A,et al.SpyGlass rescue treatment of common bile duct impacted foreign bodies[J].Dig Liver Dis,2019,51(3):453. [37]LAZARIDIS KN,LARUSSO NF.Primary sclerosing cholangitis[J].N Engl J Med,2016,375(12):1161-1170. [38]KARLSEN TH,FOLSERAAS T,THORBURN D,et al.Primary sclerosing cholangitis-a comprehensive review[J].J Hepatol,2017,67(6):1298-1323. [39]NJEI B,MCCARTY TR,VARADARAJULU S,et al.Cost utility of ERCP-based modalities for the diagnosis of cholangiocarcinoma in primary sclerosing cholangitis[J].Gastrointest Endosc,2017,85(4):773-781.e10. [40]BERNICA J,ELHANAFI S,KALAKOTA N,et al. Cholangioscopy is safe and feasible in elderly patients[J].Clin Gastroenterol Hepatol,2018,16(8):1293-1299.e2. [41]LIN C,LI JS,LIU F.An excerpt of ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis(2019)[J].J Clin Hepatol,2019,35(7):1472-1475.(in Chinese)林钏,李家速,刘枫.《2019年美国胃肠内镜学会指南:内镜在胆管结石评估和治疗中的作用》摘译[J].临床肝胆病杂志,2019,35(7):1472-1475.
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