Evidence map›Paper›PMID 41117751›Full record

ArticleUnited European gastroenterology journal2025

European Consensus Recommendations for Direct Cholangioscopy and Pancreatoscopy Using a Modified Delphi Process.

Enrico Palmeri, Sebastian Stefanovic, Emine Gökce, Velio Ascenti, Andrea Anderloni, Vincenzo Cennamo, Frédéric Prat, George Webster, Deepak Joshi, Jonathan Potts and 25 more

Abstract readConsensus Statement
In one paragraph

Article in United European gastroenterology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. UEG Journal-In Times of Turmoil, Science Matters.United European gastroenterology journal · 2026
    Article
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  3. Article
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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

35 authors.

Enrico PalmeriDepartment of Gastroenterology and Hepatology, Universitair Ziekenhuis Gent, Ghent, Belgium.ORCID https://orcid.org/0009-0001-8300-2567
Sebastian StefanovicDiagnosticni Center Bled, Bled, Slovenia.
Emine GökceDepartment of Gastroenterology and Hepatology, Universitair Ziekenhuis Gent, Ghent, Belgium.
Velio AscentiDepartment of Diagnostic and Interventional Radiology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Andrea AnderloniGastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID https://orcid.org/0000-0002-1021-0031
Vincenzo CennamoDipartimento di Scienze Mediche e Chirurgiche, Universita Degli Studi di Bologna, Bologna, Italy.
Frédéric PratEndoscopy Unit, Hopital Beaujon, Clichy, France.
George WebsterPancreatobiliary Medicine Unit, University College London Medical School, London, UK.
Deepak JoshiInstitute of Liver Studies, King's College Hospital, London, UK.
Jonathan PottsRoyal Free Sheila Sherlock Liver Centre, Royal Free Hospital and UCL Institute of Liver and Digestive Health, London, UK.
Terence WongDepartment of Gastroenterology and Hepatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Kofi OppongDepartment of Gastroenterology and Hepatology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Martin JamesNottingham Digestive Disease Centre (NDDC) and NIHR Nottingham Biomedical Research Centre (BRC), Nottingham University and Nottingham University Hospitals NHS Trust, Queens Medical Centre, Nottingham, UK.
Matthew HuggettDepartment of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Jim PortalUniversity Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Pieter Jan de JongeDepartment of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, the Netherlands.
Mark EllrichmannInterdisciplinary Endoscopy, Medical Department 1, Universitatsklinikum Schleswig-Holstein Campus Kiel, Kiel, Germany.ORCID https://orcid.org/0000-0002-5817-5589
Juan J VilaEndoscopy Unit, Gastroenterology Department, Hospital Universitario de Navarra, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
Ignacio Fernandez-UrienEndoscopy Unit, Gastroenterology Department, Hospital Universitario de Navarra, IdiSNA, Navarra Institute for Health Research, Pamplona, Spain.
Marianne UddDepartment of Gastrointestinal Surgery, Helsinki University Hospital, Helsinki, Finland.
Leena KylänpääDepartment of Gastrointestinal Surgery, Helsinki University Hospital, Helsinki, Finland.
Wim LalemanDepartment of Gastroenterology and Hepatology, Section of Liver and Biliopancreatic disorders, University of Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-0842-7813
Jan Werner PoleyGastroenterology and Hepatology, Maastricht Universitair Medisch Centrum+, Maastricht, the Netherlands.
Petko KaragyozovClinic of Gastroenterology, Adzibadem Siti Klinik, Sofia, Bulgaria.ORCID https://orcid.org/0000-0002-2297-547X
Frans van der HeideDepartment of Gastroenterology and Hepatology, Universiteit Groningen, Groningen, the Netherlands.
Jan J KoornstraDepartment of Gastroenterology and Hepatology, Universiteit Groningen, Groningen, the Netherlands.
Emad S AljahdliFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Christian GergesDepartment of Gastroenterology and General Internal Medicine, HMU University Campus, Helios Clinic Krefeld, Krefeld, Germany.ORCID https://orcid.org/0000-0001-8271-1102
Rogier P VoermansDepartment of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, Location University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9969-019X
George GoodchildDepartments of Endocrinology and Gastroenterology, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Akin IndersonDepartment of Gastroenterology and Hepatology, Leiden University Medical Centre, Leiden, the Netherlands.
Stefano Francesco CrinóDepartment of Medicine, Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, University Hospital of Verona, Verona, Italy.ORCID https://orcid.org/0000-0003-4560-8741
Marco J BrunoDepartment of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, the Netherlands.
David M de JongDepartment of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, the Netherlands.
Pieter HindryckxDepartment of Gastroenterology and Hepatology, Universitair Ziekenhuis Gent, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimDirect cholangioscopy and pancreatoscopy have become widely implemented techniques in the diagnostic and therapeutic algorithms of several pancreaticobiliary disorders. This study aimed to generate general and indication-specific European consensus recommendations on cholangioscopy and pancreatoscopy.

methodsSupported by the available literature, statements were formulated and grouped into the following categories: (1) pre-procedural considerations, (2) general technical aspects, (3) biliopancreatic stones, (4) biliary strictures, and (5) other indications. The evidence level of each statement was determined using the GRADE methodology. Cholangioscopy experts were invited to participate in a modified Delphi process. When 80% consensus was not reached, the statement was modified based on expert feedback and subjected to an additional Delphi round. Statements were rejected if they failed to reach consensus after three Delphi rounds.

resultsThirty cholangioscopy experts completed the Delphi process. Forty-two (97.6%) generated statements were accepted, of which 39 (92.9%) in the first Delphi round. 12 statements on preprocedural and periprocedural settings, 8 statements on biliopancreatic stones, 13 statements on biliary strictures, and 9 statements on other indications were accepted.

conclusionUsing a modified Delphi process, we developed general and indication-specific consensus recommendations for cholangioscopy to guide clinical practice.

Indexed as

Endoscopy, Digestive SystemPancreatic DiseasesCholangiopancreatography, Endoscopic RetrogradeConstriction, PathologicDelphi TechniqueEuropeHumansPractice Guidelines as TopicCBD stonescholangioscopyendoscopyERCPpancreatoscopy

Identifiers

PMID41117751
PMCPMC12606045

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.