Year 2017 / Volume 109 / Number 3
Digestive Diseases Image
Long-standing indeterminate biliary stricture with iterative negative tissue sampling revealed as cholangiocarcinoma under SpyGlassTM cholangiocoscopy

220-221

Andrés Figueroa Marrero, Carlos M. Chavarría-Herbozo, Carlos de la Serna Higuera, Manuel Pérez-Miranda,

Abstract
Bile duct brush cytology, intraductal biopsy and EUS-FNA are all used to characterize biliary strictures, with suboptimal sensitivity. Surgical resection without confirmed malignancy is undesirable. Cholangioscopy with targeted biopsies appears to increase the diagnostic yield in indeterminate biliary strictures, but it is still considered optional.
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References
1. Ramchandani M, Reddy DN, Gupta R et al. Role of single-operator peroral cholangioscopy in the diagnosis of indeterminate biliary lesions: a single-center, prospective study. Gastrointest Endosc 2011; 74: 511-519
2. Manta R, Frazzoni M, Conigliaro R et al. SpyGlass single-operator peroral cholangioscopy in the evaluation of indeterminate biliary lesions: a single-center, prospective, cohort study. Surg Endosc 2013; 27: 1569-1572
3. Woo YS, Lee JK, Oh SH et al. Role of SpyGlass peroral cholangioscopy in the evaluation of indeterminate biliary lesions. Dig Dis Sci 2014; 59: 2565-2570
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Figueroa Marrero A, Chavarría-Herbozo C, de la Serna Higuera C, Pérez-Miranda M. Long-standing indeterminate biliary stricture with iterative negative tissue sampling revealed as cholangiocarcinoma under SpyGlassTM cholangiocoscopy. 4454/2016


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Publication history

Received: 17/05/2016

Accepted: 23/06/2016

Published: 28/02/2017

Article revision time: 36 days

Article editing time: 287 days


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