{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:16:08Z","timestamp":1793085368137,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therap Adv Gastroenterol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Digital single-operator cholangioscopy (DSOC) enhances biliary stricture diagnosis, but the collection of quality samples can be difficult due to the small diameter of the working channel.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>A new DSOC system (EyeMAX\u2122 11Fr; Micro-Tech Endoscopy, Nanjing, China) with a 2.0-mm working channel, accommodating pediatric forceps (1.6\u2009mm), has been introduced in France. This study reports on the first French experience.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>A retrospective, multicenter observational study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>The study on DSOC was conducted across five endoscopy units within the French Society of Private Hepato-Gastroenterology (SFHGL-CREGG). Satisfaction and procedural evaluations were recorded using a visual analog scale (VAS) and compared with the Spyglass\u2122 DS II (Boston Scientific, Marlborough, MA, USA).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Among 28 patients, 71.5% had undergone prior endoscopic sphincterotomy. Indications were biliary strictures in 26 patients and lithiasis in 2. Strictures were located in the bile duct (41%) or hilum (59%). The mean satisfaction score was 8.69 out of 10, with the EyeMAX 11Fr rated as superior to the SpyGlass DS II in 86% of cases. The mean biopsy count was 8.52 in 13.19\u2009min, with 100% procedural success. Pathology specimens were rich (24%), adequate (52%), low (12%), or absent (12%). Sensitivity for cholangiocarcinoma was 73.7% (14\/19). Benign strictures regressed in all cases. Procedure-related complications included pain twice (7.1%), fever once (3.6%), infection once (3.6%), and pancreatitis twice (7.1%), all of which were resolved rapidly.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>This first study on the EyeMAX 11Fr DSOC highlights its ease of use, superior biopsy facilitation, and high user satisfaction, achieving 73.7% sensitivity for cholangiocarcinoma diagnosis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Trial registration:<\/jats:title>\n            <jats:p>ClinicalTrials.gov ID: NCT06933576.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/17562848251360117","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T01:40:36Z","timestamp":1755049236000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Contribution of the EyeMAX\u2122 11Fr (Micro-Tech) digital single-operator cholangioscope with a wide working channel: a multicenter pilot study on the first French experiences"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1487-2814","authenticated-orcid":false,"given":"David","family":"Karsenti","sequence":"first","affiliation":[{"name":"Digestive Endoscopy Unit, P\u00f4le Digestif Paris Bercy, Clinique Paris-Bercy, 9 Quai de Bercy, Charenton-le-Pont 94220, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrien","family":"Sportes","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Arnault Tzanck Institute, Saint Laurent du Var, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Leblanc","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Jean Mermoz Private Hospital, Ramsay\u2013Sant\u00e9, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"B\u00e9chet","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, SFHGL-CREGG, French Society of Private Hepato-Gastroenterology, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Derman","sequence":"additional","affiliation":[{"name":"Pathology Unit, P\u00f4le Digestif Paris Bercy, Paris-Bercy Clinic, Charenton-le-Pont, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Fassler","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Louis Pasteur Clinic, Essey-les-Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertrand","family":"Brieau","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Jules Verne Clinic, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,12]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00795-016-0143-6"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2011-301748"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12094-015-1436-2"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.5582\/bst.2016.01048"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09671-y"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.03.002"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11257"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3810-7"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/2303-9027.193597"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-1160-5485"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10051048"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.04.030"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.12.021"},{"key":"e_1_3_5_15_2","article-title":"Accurate and safe diagnosis and treatment of neoplastic biliary lesions using a novel 9F and 11F digital single-operator cholangioscope","volume":"12","author":"Robles-Medranda C","year":"2024","unstructured":"Robles-Medranda C, Alcivar-Vasquez J, Raijman I, et al. 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