Año 2025 / Volumen 117 / Número 8
Carta
Diagnostic significance of EyeMAX™ in diagnosing patients with a tumor in the terminal end of the common bile duct

463-464

DOI: 10.17235/reed.2024.10672/2024

Zhi-Chao Yu, Rui-Yue Shi, Qin Yan, Jun Yao, Li-Sheng Wang, Ben-Hua Wu,

Resumen
A biliary stricture is an abnormal narrowing in the ductal drainage system of the liver. There are many etiologies of biliary stricture, the most common and ominous of which is malignancy, either primary or metastatic.It is difficult to obtain pathological tissue of the terminal end of the common bile duct. A 72-year-old woman, complained of abdominal pain for 2 months, underwent cholecystectomy for acute cholecystitis 11 years ago. Abdominal CT and MRI examination revealed soft tissue occupation (12*8 mm) in the duodenal papillary area, and endoscopic ultrasonography revealed a hypoechoic lesion (11.1*10.7 mm) in the ampulla. We performed ERCP, and intraoperative biliary cell brushing on the patient, but no positive pathological results were obtained. We further performed novel 9F digital single operator cholangioscopy system (DSOC) (eyeMAX, Micro-Tech, Nanjing, China) and observed intraoperative hyperemia and edema of the mucosa in the terminal end of the common bile duct, presenting fish-like changes with mucous attachment and clear lesion boundaries. The pathological results suggested cholangiocarcinoma.
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
[1] B.J. Elmunzer, J.L. Maranki, V. Gómez, A. Tavakkoli, B.G. Sauer, B.N. Limketkai, E.A. Brennan, E.M. Attridge, T.J. Brigham, A.Y. Wang, ACG Clinical Guideline: Diagnosis and Management of Biliary Strictures, The American journal of gastroenterology, 118 (2023) 405-426.
[2] C. Robles-Medranda, M. Valero, M. Soria-Alcivar, M. Puga-Tejada, R. Oleas, J. Ospina-Arboleda, H. Alvarado-Escobar, J. Baquerizo-Burgos, C. Robles-Jara, H. Pitanga-Lukashok, Reliability and accuracy of a novel classification system using peroral cholangioscopy for the diagnosis of bile duct lesions, Endoscopy, 50 (2018) 1059-1070.
[3] B. Sun, J.H. Moon, Q. Cai, R. Rerknimitr, S. Ma, S. Lakhtakia, S. Ryozawa, H. Kutsumi, I. Yasuda, H. Shiomi, X. Li, W. Li, X. Zhang, T. Itoi, H.P. Wang, D. Qian, J.Y. Wong Lau, Z. Yang, M. Ji, B. Hu, Review article: Asia-Pacific consensus recommendations on endoscopic tissue acquisition for biliary strictures, Alimentary pharmacology & therapeutics, 48 (2018) 138-151.
[4] P.V. Draganov, S. Chauhan, M.S. Wagh, A.R. Gupte, T. Lin, W. Hou, C.E. Forsmark, Diagnostic accuracy of conventional and cholangioscopy-guided sampling of indeterminate biliary lesions at the time of ERCP: a prospective, long-term follow-up study, Gastrointestinal endoscopy, 75 (2012) 347-353.
[5]Zhang W, Hou SL, Tian J, Zhang LC. The combination of eyeMax direct visualization system, EUS and ERCP for the precise treatment of intraductal papillary mucinous neoplasm. Rev Esp Enferm Dig. 2023 Dec;115(12):740-741.
Artículos relacionados

Imagen en Patología Digestiva

Traumatic biliary fistula with bile duct disconnection

DOI: 10.17235/reed.2024.10096/2023

Imagen en Patología Digestiva

Malignización de neoplasia papilar intraductal de la vía biliar

DOI: 10.17235/reed.2021.8193/2021

Imagen en Patología Digestiva

Intraductal papillary mucinous neoplasm of the biliary tract: a lesion of the bile duct lumen

DOI: 10.17235/reed.2019.6186/2019

Editorial

Prótesis pancreáticas en la CPRE, ¿en qué punto estamos?

DOI: 10.17235/reed.2018.5670/2018

Original

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2016.4212/2016

Instrucciones para citar
Yu Z, Shi R, Yan Q, Yao J, Wang L, Wu B, et all. Diagnostic significance of EyeMAX™ in diagnosing patients with a tumor in the terminal end of the common bile duct. 10672/2024


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 117 veces.
Este artículo ha sido descargado 1 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 22/07/2024

Aceptado: 20/08/2024

Prepublicado: 05/09/2024

Publicado: 24/07/2025

Tiempo de prepublicación: 45 días

Tiempo de edición del artículo: 367 días


Compartir
Este artículo aun no tiene valoraciones.
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2025 y Creative Commons. Revista Española de Enfermedades Digestivas