{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T19:47:19Z","timestamp":1778010439644,"version":"3.51.4"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:00:00Z","timestamp":1654819200000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002The utility of digital single- operator cholangiopancreatoscopy (D-SOCP) in surgically altered anatomy (SAA) is limited. We aimed to evaluate the technical success and safety of D-SOCP in patients SAA.<\/jats:p><jats:p>\n          Patients and methods\u2002Patients with SAA who underwent D-SOCP between February 2015 and June 2020 were retrospectively evaluated. Technical success was defined as completing the intended procedure with the use of D-SOCP.<\/jats:p><jats:p>\n          Results\u2002Thirty-five patients underwent D-SOCP (34 D-SOC, 1 D-SOP). Bilroth II was the most common type of SAA (45.7\u200a%), followed by Whipple reconstruction (31.4\u200a%). Twenty-three patients (65.7\u200a%) patients had prior failed ERCP due to the presence of complex biliary stone (52.2\u200a%). A therapeutic duodenoscope was utilized in the majority of the cases (68.6\u200a%), while a therapeutic gastroscope (22.7\u200a%) or adult colonoscope (8.5\u200a%) were used in the remaining procedures. Choledocholithiasis (61.2\u200a%) and pancreatic duct calculi (3.2\u200a%) were the most common indications for D-SOCP. Technical success was achieved in all 35 patients (100\u200a%) and majority (91.4\u200a%) requiring a single session. Complex interventions included electrohydraulic or laser lithotripsy, biliary or pancreatic stent placement, stricture dilation, and target tissue biopsies. Two mild adverse events occurred (pancreatitis and transient bacteremia).<\/jats:p><jats:p>\n          Conclusions\u2002In SAA, D-SOCP is a safe and effective modality to diagnose and treat complex pancreatobiliary disorders, especially in cases where standard ERCP attempts may fail.<\/jats:p>","DOI":"10.1055\/a-1794-0331","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T23:00:38Z","timestamp":1654902038000},"page":"E898-E904","source":"Crossref","is-referenced-by-count":1,"title":["An international experience with single-operator cholangiopancreatoscopy in patients with altered anatomy"],"prefix":"10.1055","volume":"10","author":[{"given":"Shruti","family":"Mony","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bachir","family":"Ghandour","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Raijman","sequence":"additional","affiliation":[{"name":"Greater Houston Gastroenterology, Houston, Texas, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amar","family":"Manvar","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Montefiore Medical Center, New York City, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sammy","family":"Ho","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Montefiore Medical Center, New York City, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind J.","family":"Trindade","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Hofstra-Northwell School of Medicine, Manhasset, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petros C.","family":"Benias","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Hofstra-Northwell School of Medicine, Manhasset, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Zulli","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Hospital of Salerno, G. Fucito Center, Mercato San Severino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00e9mie","family":"Jacques","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and Gastroenterology, Limoges Dupuytren Hospital, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yervant","family":"Ichkhanian","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Zuchelli","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mouhanna Abu","family":"Ghanimeh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shayan","family":"Irani","sequence":"additional","affiliation":[{"name":"Digestive Disease Institute at Virginia Mason Medical Center, Seattle, Washington, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Canakis","sequence":"additional","affiliation":[{"name":"Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omid","family":"Sanaei","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Szvarca","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Zhang","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bejjani","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venkata","family":"Akshintala","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mouen A.","family":"Khashab","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/S0016-5107(78)73488-7","article-title":"Direct endoscopic visualization of the bile and pancreatic duct systems by peroral cholangiopancreatoscopy (PCPS)","volume":"24","author":"M Nakajima","year":"1978","journal-title":"Gastrointest Endosc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.gie.2016.03.013","article-title":"Cholangiopancreatoscopy","volume":"84","author":"S Komanduri","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"E851","DOI":"10.1055\/a-0584-6458","article-title":"Randomized study of digital single-operator cholangioscope compared to fiberoptic single-operator cholangioscope in a novel cholangioscopy bench model","volume":"6","author":"R J Shah","year":"2018","journal-title":"Endosc Int Open"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1055\/s-2007-1010450","article-title":"Cholangioscopy","volume":"24","author":"H Neuhaus","year":"1992","journal-title":"Endoscopy"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1016\/j.gie.2016.03.789","article-title":"Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video)","volume":"84","author":"U Navaneethan","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1055\/s-0043-106295","article-title":"Performance of a fully disposable, digital, single-operator cholangiopancreatoscope","volume":"49","author":"R J Shah","year":"2017","journal-title":"Endoscopy"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.cgh.2017.10.017","article-title":"Efficacy and safety of digital single-operator cholangioscopy for difficult biliary stones","volume":"16","author":"OI Brewer Gutierrez","year":"2018","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.3748\/wjg.v22.i5.1891","article-title":"Diagnostic and therapeutic single-operator cholangiopancreatoscopy in biliopancreatic diseases: Prospective multicenter study in Japan","volume":"22","author":"T Kurihara","year":"2016","journal-title":"World J Gastroenterol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1055\/s-0034-1392584","article-title":"Intraductal biliopancreatic imaging: European Society of Gastrointestinal Endoscopy (ESGE) technology review","volume":"47","author":"A Tringali","year":"2015","journal-title":"Endoscopy"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1159\/000488508","article-title":"Outcomes of single-operator cholangioscopy-guided lithotripsy in patients with difficult biliary and pancreatic stones","volume":"26","author":"J Canena","year":"2019","journal-title":"GE Port J Gastroenterol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1016\/j.gie.2017.08.021","article-title":"Randomized trial of cholangioscopy-guided laser lithotripsy versus conventional therapy for large bile duct stones (with videos)","volume":"87","author":"J Buxbaum","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"E99","DOI":"10.1055\/a-0808-4499","article-title":"SpyGlass DS-guided lithotripsy for pancreatic duct stones in symptomatic treatment-refractory chronic calcifying pancreatitis","volume":"7","author":"C Gerges","year":"2019","journal-title":"Endosc Int Open"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.dld.2013.01.010","article-title":"European experts consensus statement on cystic tumours of the pancreas","volume":"45","author":"M Del Chiaro","year":"2013","journal-title":"Dig Liver Dis"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"167","DOI":"10.4253\/wjge.v4.i5.167","article-title":"Endoscopic extraction of large common bile duct stones: A review article","volume":"4","author":"G Stefanidis","year":"2012","journal-title":"World J Gastrointest Endosc"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"3981","DOI":"10.1007\/s00464-018-6141-0","article-title":"Diagnostic and therapeutic single-operator cholangiopancreatoscopy with SpyGlassDS\u2122: results of a multicenter retrospective cohort study","volume":"32","author":"F Turowski","year":"2018","journal-title":"Surg Endosc"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.gie.2009.10.027","article-title":"A lexicon for endoscopic adverse events: report of an ASGE workshop","volume":"71","author":"P B Cotton","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"3313","DOI":"10.3748\/wjg.v25.i26.3313","article-title":"Current status of endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy","volume":"25","author":"C Krutsri","year":"2019","journal-title":"World J Gastroenterol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/j.gie.2009.08.016","article-title":"Intraductal electrohydraulic lithotripsy by using SpyGlass cholangioscopy through a colonoscope in a patient with Roux-en-Y hepaticojejunostomy","volume":"71","author":"T H Baron","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.gie.2009.11.017","article-title":"Peroral cholangioscopy in Roux-en-Y hepaticojejunostomy anatomy by using the SpyGlass Direct Visualization System (with video)","volume":"72","author":"S Mou","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1016\/j.gie.2011.04.016","article-title":"Single-operator cholangioscopy in patients requiring evaluation of bile duct disease or therapy of biliary stones (with videos)","volume":"74","author":"Y K Chen","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"E263","DOI":"10.1055\/s-0042-100194","article-title":"The efficacy of peroral cholangioscopy for difficult bile duct stones and indeterminate strictures: a systematic review and meta-analysis","volume":"4","author":"P Korrapati","year":"2016","journal-title":"Endosc Int Open"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.gie.2015.04.030","article-title":"Single-operator cholangioscopy and targeted biopsies in the diagnosis of indeterminate biliary strictures: a systematic review","volume":"82","author":"U Navaneethan","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1055\/a-1083-6105","article-title":"Diagnostic performance of different cholangioscopes in patients with biliary strictures: a systematic review","volume":"52","author":"S Kulpatcharapong","year":"2020","journal-title":"Endoscopy"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1794-0331.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T23:06:42Z","timestamp":1654902402000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1794-0331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":23,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,6,10]]},"published-print":{"date-parts":[[2022,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1794-0331","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}