Use of a double-channel duodenoscope for diagnostic and therapeutic ERCP
Background: A double-channel duodenoscope has the potential to shorten ERCP procedure time or improve procedure success rates because tasks can be done in parallel through variably situated accessory channels. Methods: We prospectively evaluated a prototype double-channel duodenoscope in 102 patie...
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| Veröffentlicht in: | Gastrointestinal endoscopy 1999-12, Vol.50 (6), p.833-837 |
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| creator | Kozarek, Richard A. Raltz, Shirley L. |
| description | Background: A double-channel duodenoscope has the potential to shorten ERCP procedure time or improve procedure success rates because tasks can be done in parallel through variably situated accessory channels.
Methods: We prospectively evaluated a prototype double-channel duodenoscope in 102 patients, recording findings, procedural success, and potential advantages or problems associated with the instrument.
Results: Both channels were used in 79 cases (77%) and a single-channel in the remainder. Ninety-nine percent (101 of 102) of diagnostic and 95% (87 of 92) of therapeutic ERCPs were successful. Instrument advantages included decreased procedure time (23%), cannulation/procedural ease (16%), and miscellaneous (6%). Disadvantages were noted in 15% of the patients and were related to instrument diameter and diameter of the accessory channels.
Conclusions: Additional study of second generation dual-channel duodenoscopes appears warranted. |
| doi_str_mv | 10.1016/S0016-5107(99)70169-0 |
| format | Article |
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Methods: We prospectively evaluated a prototype double-channel duodenoscope in 102 patients, recording findings, procedural success, and potential advantages or problems associated with the instrument.
Results: Both channels were used in 79 cases (77%) and a single-channel in the remainder. Ninety-nine percent (101 of 102) of diagnostic and 95% (87 of 92) of therapeutic ERCPs were successful. Instrument advantages included decreased procedure time (23%), cannulation/procedural ease (16%), and miscellaneous (6%). Disadvantages were noted in 15% of the patients and were related to instrument diameter and diameter of the accessory channels.
Conclusions: Additional study of second generation dual-channel duodenoscopes appears warranted.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/S0016-5107(99)70169-0</identifier><identifier>PMID: 10570347</identifier><identifier>CODEN: GAENBQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Bile Duct Diseases - diagnosis ; Bile Duct Diseases - therapy ; Biological and medical sciences ; Cholangiopancreatography, Endoscopic Retrograde - instrumentation ; Digestive system. Abdomen ; Duodenoscopes ; Endoscopy ; Equipment Design ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Pancreatic Diseases - diagnosis ; Pancreatic Diseases - therapy ; Prospective Studies</subject><ispartof>Gastrointestinal endoscopy, 1999-12, Vol.50 (6), p.833-837</ispartof><rights>1999 American Society for Gastrointestinal Endoscopy</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-ba16d3331207423662de98c4c068716bc1e7c86484dc2353e63cc5327c5ce8693</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0016510799701690$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1186971$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10570347$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kozarek, Richard A.</creatorcontrib><creatorcontrib>Raltz, Shirley L.</creatorcontrib><title>Use of a double-channel duodenoscope for diagnostic and therapeutic ERCP</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>Background: A double-channel duodenoscope has the potential to shorten ERCP procedure time or improve procedure success rates because tasks can be done in parallel through variably situated accessory channels.
Methods: We prospectively evaluated a prototype double-channel duodenoscope in 102 patients, recording findings, procedural success, and potential advantages or problems associated with the instrument.
Results: Both channels were used in 79 cases (77%) and a single-channel in the remainder. Ninety-nine percent (101 of 102) of diagnostic and 95% (87 of 92) of therapeutic ERCPs were successful. Instrument advantages included decreased procedure time (23%), cannulation/procedural ease (16%), and miscellaneous (6%). Disadvantages were noted in 15% of the patients and were related to instrument diameter and diameter of the accessory channels.
Conclusions: Additional study of second generation dual-channel duodenoscopes appears warranted.</description><subject>Bile Duct Diseases - diagnosis</subject><subject>Bile Duct Diseases - therapy</subject><subject>Biological and medical sciences</subject><subject>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</subject><subject>Digestive system. Abdomen</subject><subject>Duodenoscopes</subject><subject>Endoscopy</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pancreatic Diseases - diagnosis</subject><subject>Pancreatic Diseases - therapy</subject><subject>Prospective Studies</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKxDAUhoMoOl4eQelCRBfVpGmTZiUyjBcQFC_rkDk51UinGZNW8O3NOIO6c3MOP3znwkfIPqOnjDJx9khTzStG5bFSJzIFldM1MmJUyVxIqdbJ6AfZItsxvlFK64KzTbLFaCUpL-WIXD9HzHyTmcz6YdpiDq-m67DN7OAtdj6Cn2PW-JBZZ15S7h1kprNZ_4rBzHFY5MnD-H6XbDSmjbi36jvk-XLyNL7Ob--ubsYXtzlwRft8apiwnHNWUFkWXIjCoqqhBCpqycQUGEqoRVmXFgpecRQcoOKFhAqwForvkKPl3nnw7wPGXs9cBGxb06EfohaqUGlzmcBqCULwMQZs9Dy4mQmfmlG9UKi_FeqFH62U_laoaZo7WB0YpjO0f6aWzhJwuAJMBNM2wXTg4i_H0puSJex8iWGy8eEw6AgOO0DrAkKvrXf_fPIFkAeLbw</recordid><startdate>19991201</startdate><enddate>19991201</enddate><creator>Kozarek, Richard A.</creator><creator>Raltz, Shirley L.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991201</creationdate><title>Use of a double-channel duodenoscope for diagnostic and therapeutic ERCP</title><author>Kozarek, Richard A. ; Raltz, Shirley L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-ba16d3331207423662de98c4c068716bc1e7c86484dc2353e63cc5327c5ce8693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Bile Duct Diseases - diagnosis</topic><topic>Bile Duct Diseases - therapy</topic><topic>Biological and medical sciences</topic><topic>Cholangiopancreatography, Endoscopic Retrograde - instrumentation</topic><topic>Digestive system. Abdomen</topic><topic>Duodenoscopes</topic><topic>Endoscopy</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pancreatic Diseases - diagnosis</topic><topic>Pancreatic Diseases - therapy</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kozarek, Richard A.</creatorcontrib><creatorcontrib>Raltz, Shirley L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kozarek, Richard A.</au><au>Raltz, Shirley L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a double-channel duodenoscope for diagnostic and therapeutic ERCP</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>1999-12-01</date><risdate>1999</risdate><volume>50</volume><issue>6</issue><spage>833</spage><epage>837</epage><pages>833-837</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><coden>GAENBQ</coden><abstract>Background: A double-channel duodenoscope has the potential to shorten ERCP procedure time or improve procedure success rates because tasks can be done in parallel through variably situated accessory channels.
Methods: We prospectively evaluated a prototype double-channel duodenoscope in 102 patients, recording findings, procedural success, and potential advantages or problems associated with the instrument.
Results: Both channels were used in 79 cases (77%) and a single-channel in the remainder. Ninety-nine percent (101 of 102) of diagnostic and 95% (87 of 92) of therapeutic ERCPs were successful. Instrument advantages included decreased procedure time (23%), cannulation/procedural ease (16%), and miscellaneous (6%). Disadvantages were noted in 15% of the patients and were related to instrument diameter and diameter of the accessory channels.
Conclusions: Additional study of second generation dual-channel duodenoscopes appears warranted.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>10570347</pmid><doi>10.1016/S0016-5107(99)70169-0</doi><tpages>5</tpages></addata></record> |
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| ispartof | Gastrointestinal endoscopy, 1999-12, Vol.50 (6), p.833-837 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Bile Duct Diseases - diagnosis Bile Duct Diseases - therapy Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde - instrumentation Digestive system. Abdomen Duodenoscopes Endoscopy Equipment Design Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Pancreatic Diseases - diagnosis Pancreatic Diseases - therapy Prospective Studies |
| title | Use of a double-channel duodenoscope for diagnostic and therapeutic ERCP |
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