Academic Journal
The Role of Cholangioscopy and EUS in the Evaluation of Indeterminate Biliary Strictures
| Title: | The Role of Cholangioscopy and EUS in the Evaluation of Indeterminate Biliary Strictures |
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| Authors: | Wilson Siu, Raymond S. Y. Tang |
| Source: | Gastroenterology Insights, Vol 13, Iss 2, Pp 192-205 (2022) |
| Publisher Information: | MDPI AG, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Diseases of the digestive system. Gastroenterology |
| Subject Terms: | ERCP, EUS-FNA, cholangioscopy, indeterminate biliary stricture, Diseases of the digestive system. Gastroenterology, RC799-869 |
| More Details: | 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). |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2036-7422 2036-7414 |
| Relation: | https://www.mdpi.com/2036-7422/13/2/20; https://doaj.org/toc/2036-7414; https://doaj.org/toc/2036-7422 |
| DOI: | 10.3390/gastroent13020020 |
| Access URL: | https://doaj.org/article/74e8cafc7c7645f68a9ca060e64fb2d6 |
| Accession Number: | edsdoj.74e8cafc7c7645f68a9ca060e64fb2d6 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 20367422 20367414 |
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| DOI: | 10.3390/gastroent13020020 |
| Published in: | Gastroenterology Insights |
| Language: | English |