医学
胆囊
内镜逆行胰胆管造影术
胆囊管
可视化
不利影响
放射科
外科
内科学
人工智能
胰腺炎
计算机科学
作者
Lin Zhou,Yonghua Shen,Bing Xu,Hai‐Liang Zhu,Rongqin Zheng,Dehua Tang,Pingkun Yan,Song Zhang,Xiaoping Zou,Lei Wang
标识
DOI:10.1016/j.dld.2023.11.016
摘要
BackgroundEndoscopic visualization of gallbladder lesions by the traditional peroral cholangioscopy (POCS) during the endoscopic retrograde cholangiopancreatography process is challenging. In the present study, we evaluated the feasibility of a newly designed POCS with an ultrafine outer diameter that facilitates gallbladder visualization.MethodsThe novel POCS was designed and manufactured with an outer diameter of 7 French and achieved extremely high performance. The feasibility of this novel POCS for gallbladder observation was assessed in our center between April 2022 and January 2023. The primary outcome was technical success.ResultsA total of 16 patients (64.6 ± 18.1 years, 9 males) who underwent novel ultrafine POCS inspection for gallbladder visualization were included. Technical success was achieved in 14 of 16 cases (87.5%); the main reasons for the two unsuccessful inspections were the presence of cystic duct strictures. A total of 1 adverse event occurred, for an overall rate of 6.3%, and there were no serious adverse events during the follow-up.ConclusionsThe results suggest that endoscopic visualization of the gallbladder using the novel ultrafine POCS is feasible. The device is expected to provide a new direction for the management of gallbladder disorders in the future.
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