Clinical practice guideline on the use of single-operator cholangioscopy in the diagnosis of indeterminate biliary stricture and the treatment of difficult biliary stones.
Adriana Margarita Rey RubianoLaura Yuriko González-TeshimaLázaro ArangoCamilo Blanco-AvellanedaJhon Jaime Carvajal GutiérrezRodrigo Castaño-LlanoMartin Alonso Gómez ZuletaCarlos GonzálezArecio Peñaloza-RamírezRaúl Pinilla MoralesRenzo Pinto CartaHéctor Adolfo Polanía LiscanoReinaldo Andrés Rincón SánchezMauricio Sepúlveda CopeteRómulo Vargas-RubioCamilo Andrés Avendaño CaprilesAndrés Mauricio García-SierraJuan José Yepes-NuñezPublished in: Surgical endoscopy (2023)
For adult patients with indeterminate biliary strictures, the panel made a conditional recommendation for SOC with stricture pattern characterization over ERCP with brushing and/or biopsy for sensitivity, specificity, and procedure success rate outcomes. For the adult patients with difficult biliary stones the panel made conditional recommendation for SOC over ERCP with large-balloon dilation of papilla. Additional research is required on economic estimations of SOC and knowledge translation evaluations to implement SOC intervention in local contexts.