Evidence map›Paper›PMID 41538672›Full record

GuidelineArquivos de gastroenterologia2026

FIRST BRAZILIAN CONSENSUS ON CHOLANGIOPANCREATOSCOPY BY THE BRAZILIAN SOCIETY OF DIGESTIVE ENDOSCOPY (SOBED).

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 and 15 more

Abstract readConsensus StatementPractice Guideline
In one paragraph

Guideline in Arquivos de gastroenterologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

25 authors.

Tomazo Antônio Prince FranziniHospital das Clínicas da Universidade de São Paulo, Unidade de Endoscopia Gastrointestinal, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-5477-4939
Bruno da Costa MartinsInstituto do Câncer da Universidade de São Paulo, Departamento de Gastroenterologia, Divisão de Endoscopia, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-0282-0753
Alexandre Moraes BestettiHospital das Clínicas da Universidade de São Paulo, Unidade de Endoscopia Gastrointestinal, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-5358-2169
Carlos Henrique Barros AmaralSanta Casa de Misericórdia de Maceió, Serviço de Endoscopia Digestiva, Maceió, AL, Brasil.ORCID http://orcid.org/0000-0002-8683-7885
Cláudio Rogério SolakHospital Universitário de Ponta Grossa, Departamento de Endoscopia, Ponta Grossa, PR, Brasil.ORCID http://orcid.org/0009-0003-3421-703X
Djalma Ernesto Coelho NetoHospital Américas Medical City, Serviço de Gastroenterologia e Endoscopia, Coordenador Médico, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0009-0009-1673-2058
Eduardo Guimarães Hourneaux DE MouraHospital das Clínicas da FMUSP, Serviço de Endoscopia Gastrointestinal e Broncoesofagoscopia, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-8023-3722
Eduardo Michels OppitzHospital Moinhos de Vento, Porto Alegre, RS, Brasil.ORCID http://orcid.org/0009-0009-6134-4476
Fernanda Prata MartinsHospital Israelita Albert Einstein, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-7017-9910
Flavio Hayato EjimaInstituto Hospital de Base do Distrito Federal, Brasília, DF, Brasil.ORCID http://orcid.org/0000-0002-5925-0958
Gerson Cesar Brasil JúniorHospital Universitário Oswaldo Cruz da Universidade de Pernambuco, Serviço de Endoscopia Digestiva, Recife, PE, Brasil.ORCID http://orcid.org/0000-0002-0847-1611
Gustavo Andrade DE PauloHospital Israelita Albert Einstein, Serviço de Endoscopia, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-7926-9373
Gustavo de Oliveira LuzHospital das Clínicas da Universidade de São Paulo, Unidade de Endoscopia Gastrointestinal, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-7396-8440
Leonardo VallinotoHospital das Clínicas da Universidade de São Paulo, Unidade de Endoscopia Gastrointestinal, São Paulo, SP, Brasil.ORCID http://orcid.org/0009-0002-1271-4038
Marcos Eduardo Lera Dos SantosHospital das Clínicas da Universidade de São Paulo, Unidade de Endoscopia Gastrointestinal, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-9759-3807
Rafael William NodaHospital Nossa Senhora das Graças, Unidade de Endoscopia, Curitiba, PR, Brasil.ORCID http://orcid.org/0000-0002-7113-1222
Raquel Canzi Almada DE SouzaUniversidade Federal do Paraná, Curitiba, PR, Brasil.ORCID http://orcid.org/0000-0002-4860-3340
Renato Luz CarvalhoHospital do Servidor Público Estadual (IAMSPE) - Rede Santa Catarina, Diretor do Serviço de Endoscopia, São Paulo, SP, Brasil.ORCID http://orcid.org/0009-0006-6105-9227
Rodrigo Roda Rodrigues SilvaHospital das Clínicas da Universidade Federal de Minas Gerais, Instituto Alfa de Gastroenterologia; Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0002-4610-2059
Tiago CardosoFundação Hospital Adriano Jorge, Manaus, AM, Brasil.ORCID http://orcid.org/0000-0001-9094-3317
Victor Rossi BastosHospital São Rafael, Salvador, BA, Brasil.ORCID http://orcid.org/0000-0003-2413-8007
Júlia LimaOracle Life Sciences, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-2454-3256
Ruth Bartelli GrigolonOracle Life Sciences, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-0038-9530
Vicky Nogueira PileggiOracle Life Sciences, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0003-2284-010X
Fauze Maluf-FilhoFaculdade de Medicina da Universidade de São Paulo, Departamento de Gastroenterologia, Instituto do Câncer do Estado de São Paulo, Pesquisador CNPq, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-8875-420X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite 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.

methodsA 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.

resultsEighteen 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.

conclusionThese 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.

Indexed as

Biliary Tract DiseasesCholangiopancreatography, Endoscopic RetrogradeEndoscopy, Digestive SystemPancreatic DiseasesBrazilConsensusDelphi TechniqueHumansSocieties, Medical

Identifiers

PMID41538672
PMCPMC12788766

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.