Amrita Sethi, Theodore Doukides, Divyesh V Sejpal, Douglas K Pleskow, Adam Slivka, Douglas G Adler, Raj J Shah, Steven A Edmundowicz, Takao Itoi, Bret T Petersen, Frank G Gress, Monica Gaidhane, Michel Kahaleh
Background. The SpyGlass Direct Visualization System (Boston Scientific, Natick, MA) is routinely used during single operator choledochoscopy (SOC) to identify biliary lesions or strictures with a diagnostic accuracy up to 88%. The objective of this study was to determine the interobserver agreement (IOA) of modified scoring criteria for diagnosing biliary lesions/strictures. Methods. 27 SPY SOC video clips were reviewed and scored by 9 interventional endoscopists based on published criteria that included the presence and severity of surface structure, vasculature visualization, lesions, and findings...
2014: Diagnostic and Therapeutic Endoscopy