[Spyglass® cholangiopancreatoscopy for biliary and pancreatic diseases]
Klappenbach R, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001562
Spanish
Original Title:
Colangio-pancreatoscopia SpyGlass® para patología bilio-pancreática
Authors' recommendations:
Low-quality evidence suggests that the use of SpyGlass® cholangioscopy in diagnosis of indeterminate biliary strictures might have a considerable benefit by early indicating the need to perform a major surgical resection or to avoid it (and its potential clinical benefits). This would be as a result of more sensitivity for malignancy diagnosis when compared with endoscopic cholangiography-guided brushing or biopsy. However, there are no studies directly assessing these potential clinical benefits.
Moderate-quality evidence suggests that the use of SpyGlass® cholangioscopic-guided lithotripsy to treat difficult bile duct stones would improve the rate of duct clearance when compared with other endoscopic techniques, which would reduce the number of subsequent endoscopic procedures or bilie duct surgical exploration.
Very low-quality evidence does not allow to draw conclusions on the benefits and risks of the use of SpyGlass® in difficult pancreatic stones or indeterminate pancreatic stenosis.
The clinical practice guidelines surveyed recommend that the use of SpyGlass® might be considered to diagnose indeterminate biliary strictures, which are negative for malignancy in samples using the conventional techniques (endoscopic cholangiography biopsy or brushing). One clinical practice guideline on difficult bile duct stones includes the use SpyGlass® as one of the therapeutic options in those cases where conventional endoscopic treatments of sphincterotomy and/or papillary dilatation fail. The coverage policies surveyed do not mention or cover this technology.
No economic assessments have been found for this technology in the region.
Details
Project Status:
Completed
Year Published:
2020
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Biliary Tract Diseases
- Pancreatic Diseases
- Cholangiopancreatography, Endoscopic Retrograde
- Endoscopy, Digestive System
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.