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The Role of Peroral Cholangioscopy in Evaluating Indeterminate Biliary Strictures
Clinical Endoscopy ; : 556-564, 2019.
Article in English | WPRIM | ID: wpr-785669
ABSTRACT
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.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Surgical Instruments / Bile Duct Diseases / Bile Duct Neoplasms / Biopsy / Cholangiopancreatography, Endoscopic Retrograde / Cholangiocarcinoma / Constriction, Pathologic Language: English Journal: Clinical Endoscopy Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Surgical Instruments / Bile Duct Diseases / Bile Duct Neoplasms / Biopsy / Cholangiopancreatography, Endoscopic Retrograde / Cholangiocarcinoma / Constriction, Pathologic Language: English Journal: Clinical Endoscopy Year: 2019 Type: Article