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Endoscopy 2022; 54(04): 396-400
DOI: 10.1055/a-1490-0434
Innovations and brief communications

Digital single-operator cholangioscope for endoscopic retrograde appendicitis therapy

Ling-Jian Kong∗   *
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Dan Liu∗   *
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Ji-Yu Zhang
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Saif Ullah
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Lixia Zhao
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Deliang Li
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Huiyu Yang
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
,
Bing-Rong Liu
1   Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, P. R. China
› Author AffiliationsSupported by: Henan province innovation talents of science and technology plan 184200510020
Supported by: Natural science foundation of China 818704540
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Beyond the end: a cholangioscope in the appendix – a new tool for the management of acute appendicitis?Endoscopy 2022; 54(04): 401-402
DOI: 10.1055/a-1748-4237

Abstract

Background This study aimed to investigate the diagnostic and therapeutic value of a digital single-operator cholangioscope (SOC) system for endoscopic management of acute appendicitis.

Methods 14 patients with acute uncomplicated simple or supportive appendicitis were evaluated between November 2018 and September 2020. The diagnosis of acute appendicitis was confirmed by direct colonoscopy imaging and cholangioscope. The success rate of digital SOC-assisted endoscopic retrograde appendicitis therapy (ERAT), the procedure time, postoperative length of hospital stay, complications, and recurrence rate were recorded.

Results Technical success rate was 100 %, with high quality imaging of the appendiceal cavity achieved using SOC in all 14 patients. The mean procedure time was 37.8 (standard deviation [SD] 22) minutes. All patients experienced immediate relief from abdominal pain after the procedure. Mean postoperative hospitalization was 1.9 (SD 0.7) days. No recurrence occurred during 2–24 months of follow-up.

Conclusion Digital SOC-assisted ERAT provided a feasible, safe, and effective alternative approach for diagnosis and management of acute uncomplicated appendicitis without the need for X-ray or ultrasonic guidance.

* Co-first authors.


Fig. 1s



Publication History

Received: 10 January 2021

Accepted: 23 April 2021

Accepted Manuscript online:
23 April 2021

Article published online:
17 June 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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