First Brazilian Consensus on Cholangiopancreatoscopy by the Brazilian Society of Digestive Endoscopy (sobed).
Year: 2026
Type: article
Abstract: BACKGROUND: Despite the widespread adoption of single-operator cholangiopancreatoscopy for the management of biliary and pancreatic diseases, this method was recently introduced in Brazil. This study aimed to develop a Brazilian consensus for the diagnostic and therapeutic use of single-operator cholangiopancreatoscopy for the management of pancreatobiliary diseases. METHODS: A working group from the Brazilian Society of Digestive Endoscopy (SOBED) specialists, using a Delphi methodology, formulated statements across six topics: indeterminate biliary strictures, complex biliary stones, primary sclerosing cholangitis, peroral pancreatoscopy, post-liver transplantation, and antibiotic prophylaxis. Eighteen experts evaluated these statements using an anonymous electronic voting system. Consensus was defined as ≥80% agreement. RESULTS: Eighteen statements were formulated and voted on by a panel of experts to reach a consensus. The panel consisted of 18 endoscopy specialists from various regions of Brazil, with an average of 20.4 years of experience. Consensus was achieved on all statements in the first round. CONCLUSION: These recommendations establish the role of cholangiopancreatoscopy in diagnostic and therapeutic for indeterminate biliary strictures, complex biliary stones, primary sclerosing cholangitis, peroral pancreatoscopy, post-liver transplantation, and antibiotic prophylaxis, providing a background for its standardized use in Brazil.
Source: PubMed
Authors: Tomazo Antônio Prince Franzini, Bruno da Costa Martins, Alexandre Moraes Bestetti, Carlos Henrique Barros Amaral, Cláudio Rogério Solak, Djalma Ernesto Coelho Neto, Eduardo Guimarães Hourneaux DE Moura, Eduardo Michels Oppitz, Fernanda Prata Martins, Flavio Hayato Ejima, Gerson Cesar Brasil Júnior, Gustavo Andrade DE Paulo, Gustavo de Oliveira Luz, Leonardo Vallinoto, Marcos Eduardo Lera Dos Santos, Rafael William Noda, Raquel Canzi Almada DE Souza, Renato Luz Carvalho, Rodrigo Roda Rodrigues Silva, Tiago Cardoso, Victor Rossi Bastos, Júlia Lima, Ruth Bartelli Grigolon, Vicky Nogueira Pileggi, Fauze Maluf-Filho
Institutions: Universidade de São Paulo, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Hospital Moinhos de Vento, Hospital Israelita Albert Einstein, Hospital de Base, Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco, Hospital Nossa Senhora das Graças, Universidade Federal do Paraná, Hospital do Servidor Público Estadual, Hospital das Clínicas da Universidade Federal de Minas Gerais, Hospital São Rafael, Instituto do Câncer do Estado de São Paulo
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7122426541
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