The Role of Peroral Cholangioscopy in Evaluating Indeterminate Biliary Strictures

Autor:	Nasim Parsa, Mouen A. Khashab
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	bile duct disease bile duct neoplasm biliary strictures cholangiocarcinoma Internal medicine RC31-1245 Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Clinical Endoscopy, Vol 52, Iss 6, Pp 556-564 (2019)
Druh dokumentu:	article
ISSN:	2234-2400 2234-2443
DOI:	10.5946/ce.2019.011
Popis:	Biliary strictures are considered indeterminate when the initial radiologic evaluation and endoscopic retrograde cholangiopancreatography with brush cytology and/or forceps biopsy do not reveal diagnostic findings. Evaluation of these strictures is challenging and often requires a multidisciplinary approach and multiple procedures. Peroral cholangioscopy allows direct visualization of these lesions and targeted tissue acquisition using miniature biopsy forceps. In the past decade, there have been significant improvements in the field of cholangioscopy. These advances have allowed higher-quality image acquisition, easy setup, operation by a single operator, easy maneuverability, and excellent targeted tissue sampling performance. However, the interpretation of cholangioscopic visual findings remains challenging. In this review, we discuss the role of peroral cholangioscopy in the evaluation of indeterminate biliary strictures.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/7c01652115f54225ac89d5d181dfeeab Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF