Evidence map›Paper›PMID 39948712›Full record

ArticleJournal of gastroenterology and hepatology2025

Diagnostic Yield of a Novel 11-Fr Digital Cholangioscope for Indeterminate Biliary Disease Using Macroscopic-On-Site Evaluation: Prospective Comparative Study.

Takeshi Ogura, Saori Ueno, Akitoshi Hakoda, Ahmad F Aboelezz, Atsushi Okuda, Nobu Nishioka, Jun Sakamoto, Jun Matsuno, Yuki Uba, Mitsuki Tomita and 4 more

Abstract readComparative Study
In one paragraph

Article in Journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. New Horizons in Cholangiopancreatoscopy: Where Are We Heading in 2026?Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Article
  2. Article
  3. Advances in Diagnosis and Treatment With Cholangiopancreatoscopy.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Takeshi OguraEndoscopy Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.ORCID https://orcid.org/0000-0003-2916-6568
Saori UenoSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Akitoshi HakodaSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Ahmad F AboelezzDepartment of Internal Medicine, Gastroenterology and Hepatology Unit, Tanta University, Egypt.
Atsushi OkudaSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.ORCID https://orcid.org/0000-0002-2094-9921
Nobu NishiokaSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Jun SakamotoSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Jun MatsunoSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Yuki UbaSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Mitsuki TomitaSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Nobuhiro HattoriSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Junichi NakamuraSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Kimi BesshoSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Hiroki NishikawaSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimA novel 11-Fr digital cholangioscope (eyeMAX) has recently become available. However, a prospective comparative study of the diagnostic yield of the eyeMAX and of a conventional cholangioscope (SpyGlass DS II) has not been reported. Therefore, the aim of this study was to prospectively compare the diagnostic yield of the eyeMAX and of the SpyGlass DS II for indeterminate biliary disease. PATIENTS AND

methodForceps biopsy was repeated until visible core tissue was obtained. The primary outcome of this study was the diagnostic accuracy of the biopsy specimens obtained by the eyeMAX. The secondary outcomes were comparisons of the diagnostic yield of visual findings, tissue size, number of forceps biopsies until MOSE positivity, and adverse events.

resultsFifty patients were prospectively enrolled in the eyeMAX group. And 47 patients in the SpyGlass DS II group were enrolled as a historical control. The number of biopsies was significantly fewer in the eyeMAX group than in the SpyGlass DS II group (p = 0.001). Tissue size was larger in the eyeMAX group (2.96 ± 0.69 mm

conclusionsThe eyeMAX has a favorable diagnostic yield in terms of visual findings and the forceps biopsy specimen.

trial registration000049465.

Indexed as

Biliary Tract DiseasesEndoscopy, Digestive SystemAdultAgedBiopsyEquipment DesignFemaleHumansMaleMiddle AgedProspective Studiesbile duct stricturebiopsycholangioscopeERCPperoral cholangioscopy

Identifiers

PMID39948712
PMCPMC12062919

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.