胆道镜和超声心动图在评估不确定性胆道狭窄中的作用

IF 1.5 Q3 GASTROENTEROLOGY & HEPATOLOGY
W. Siu, Raymond S. Y. Tang
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引用次数: 3

摘要

胆管狭窄仍然是临床医生诊断的难题。尽早确定狭窄的良性或恶性性质是很重要的,以避免在医疗或手术中出现任何不必要的延误。当最初的诊断工作没有结论时,组织学诊断的组织采集尤其重要。传统的内镜逆行胰胆管造影(ERCP)加刷涂和活检的诊断效果并不理想。患有不确定胆道狭窄(IDBs)的患者通常需要多学科的诊断方法和额外的内窥镜评估,包括胆道镜检查和内窥镜超声检查,才能做出最终诊断。在这篇文章中,我们讨论了内镜在诊断胆管狭窄方面的最新进展,重点是胆道镜和内镜超声(EUS)的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Cholangioscopy and EUS in the Evaluation of Indeterminate Biliary Strictures
Bile duct stenosis continues to present a diagnostic dilemma for clinicians. It is important to establish the benign or malignant nature of the stricture early in order to avoid any unnecessary delay in medical treatment or surgery. Tissue acquisition for histological diagnosis is particularly crucial when the initial diagnostic work up is inconclusive. The diagnostic yield from the conventional endoscopic retrograde cholangiopancreatography (ERCP) with brushing and biopsy is suboptimal. Patients with indeterminate biliary strictures (IDBSs) often require a multi-disciplinary diagnostic approach and additional endoscopic evaluation, including cholangioscopy and endoscopic ultrasound, before a final diagnosis can be reached. In this article, we discuss the recent endoscopic advancements in the diagnosis of biliary stricture with a focus on the roles of cholangioscopy and endoscopic ultrasound (EUS).
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来源期刊
Gastroenterology Insights
Gastroenterology Insights GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
2.80
自引率
3.40%
发文量
35
审稿时长
10 weeks
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