Endoscopic Evaluation of Biliary Strictures: Current and Emerging Techniques

Roy Huynh; Corinne Owers; Christopher Pinto; Thuy-My Nguyen; Titus Kwok

doi:10.5946/ce.2021.048

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저자정보: Roy Huynh (Department of UGS Concord Repatriation General Hospital Sydney NSW Australia) Corinne Owers (Department of UGS Concord Repatriation General Hospital Sydney NSW Australia) Christopher Pinto (Department of UGS Concord Repatriation General Hospital Sydney NSW Australia) Thuy-My Nguyen (Department of UGS Concord Repatriation General Hospital Sydney NSW Australia) Titus Kwok (Department of UGS Concord Repatriation General Hospital Sydney NSW Australia)

저널정보: 대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제6호

발행연도: 2021.11

수록면: 825 - 832 (8page)

DOI: 10.5946/ce.2021.048

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The diagnosis of biliary strictures in clinical practice can be challenging. Discriminating between benign and malignant biliarystrictures is important to prevent the morbidity and mortality associated with incorrect diagnoses. Missing a malignant biliarystricture may delay surgery, resulting in poor prognostic outcomes. Conversely, it has been demonstrated that approximately20% of patients who undergo surgery for suspected biliary malignancies have a benign etiology on histopathology. Traditionaltissue sampling using endoscopic retrograde cholangiography does not always produce a definitive diagnosis, with a considerableproportion of cases remaining as indeterminate biliary strictures. Recent advances in endoscopic techniques have the potential toimprove the diagnostic and prognostic accuracy of biliary strictures.

#Bile ducts #Biliary tract neoplasm #Cholestasis #Endoscopy #Pathologic constriction

참고문헌 (102)

참고문헌 신청

Dawwas MF / 2016 / Endoscopic assessment and management of biliary strictures / Frontline Gastroenterol 7:170~175

Jha R / 2004 / How good is IDUS in patients with isolated biliary strictures? / A J Gastroenterol 99:1690~1691

Larghi A / 2007 / Differentiating benign from malignant idiopathic biliary strictures : are we there yet? / Gastrointest Endosc 66:97~99

Longmire WP / 1973 / Carcinoma of the extrahepatic biliary tract / Ann Surg 178:333~345

Gerhards MF / 2001 / Incidence of benign lesions in patients resected for suspicious hilar obstruction / British J Surg 88:48~51

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