본문 바로가기
KERD
논문KCI 등재

Endoscopic Evaluation of Biliary Strictures: Current and Emerging Techniques

Roy Huynh|Corinne Owers|Christopher Pinto|Thuy-My Nguyen|Titus Kwok
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2021.11|Clinical Endoscopy|제54권 제6호|pp. 825-832|DOI 10.5946/ce.2021.048

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

EndoscopyPathologic constrictionCholestasisBile ductsBiliary tract neoplasm
주제분류내과학

초록

The diagnosis of biliary strictures in clinical practice can be challenging. Discriminating between benign and malignant biliarystrictures is important to prevent the morbidity and mortality associated with incorrect diagnoses. Missing a malignant biliarystricture may delay surgery, resulting in poor prognostic outcomes. Conversely, it has been demonstrated that approximately20% of patients who undergo surgery for suspected biliary malignancies have a benign etiology on histopathology. Traditionaltissue sampling using endoscopic retrograde cholangiography does not always produce a definitive diagnosis, with a considerableproportion of cases remaining as indeterminate biliary strictures. Recent advances in endoscopic techniques have the potential toimprove the diagnostic and prognostic accuracy of biliary strictures.

Abstract

The diagnosis of biliary strictures in clinical practice can be challenging. Discriminating between benign and malignant biliarystrictures is important to prevent the morbidity and mortality associated with incorrect diagnoses. Missing a malignant biliarystricture may delay surgery, resulting in poor prognostic outcomes. Conversely, it has been demonstrated that approximately20% of patients who undergo surgery for suspected biliary malignancies have a benign etiology on histopathology. Traditionaltissue sampling using endoscopic retrograde cholangiography does not always produce a definitive diagnosis, with a considerableproportion of cases remaining as indeterminate biliary strictures. Recent advances in endoscopic techniques have the potential toimprove the diagnostic and prognostic accuracy of biliary strictures.

참고문헌 (102)

  1. Dawwas MF, "Endoscopic assessment and management of biliary strictures", Frontline Gastroenterol, 7, pp.170~175 (2016)
  2. Jha R, "How good is IDUS in patients with isolated biliary strictures?", A J Gastroenterol, 99, pp.1690~1691 (2004)
  3. Larghi A, "Differentiating benign from malignant idiopathic biliary strictures : are we there yet?", Gastrointest Endosc, 66, pp.97~99 (2007)
  4. Longmire WP, "Carcinoma of the extrahepatic biliary tract", Ann Surg, 178, pp.333~345 (1973)
  5. Gerhards MF, "Incidence of benign lesions in patients resected for suspicious hilar obstruction", British J Surg, 88, pp.48~51 (2001)
  6. Clayton RaE, "Incidence of benign pathology in patients undergoing hepatic resection for suspected malignancy", Surgeon, 1, pp.32~38 (2003)
  7. Wakai T, "Clinicopathological features of benign biliary strictures masquerading as biliary malignancy", Am Surg, 78, pp.1388~1391 (2012)
  8. Hall JG, "Current management of biliary strictures", J Gastrointest Surg, 8, pp.1098~1110 (2004)
  9. Bowlus CL, "Evaluation of indeterminate biliary strictures", Nat Rev Gastroenterol Hepatol, 13, pp.28~37 (2016)
  10. Martin RF, "Bile duct injuries : spectrum, mechanisms of injury, and their prevention", Surg Clin North Am, 74, pp.781~803 (1994)
  11. Kaya M, "Balloon dilation compared to stenting of dominant strictures in primary sclerosing cholangitis", Am J Gastroenterol, 96, pp.1059~1066 (2001)
  12. Ohara H, "Clinical diagnostic criteria of IgG4-related sclerosing cholangitis 2012", J Hepatobiliary Pancreat Sci, 19, pp.536~542 (2012)
  13. Alam I, "Diffuse intrahepatic biliary strictures in sarcoidosis resembling sclerosing cholangitis(case report and review of the literature)", Dig Dis Sci, 42, pp.1295~1301 (1997)
  14. Wong CS, "Benign biliary stricture and its rare association—Mirizzi syndrome : a case series and literature review", Int J Case Rep Imag, 3, pp.1~7 (2012)
  15. Liberman E, "Foamy macrophages in acquired immunodeficiency syndrome cholangiopathy with Encephalitozoon intestinalis", Arch Pathol Lab Med, 121, pp.985~988 (1997)
  16. Chen XM, "Cryptosporidiosis and the pathogenesis of AIDS-cholangiopathy", Semin Liver Dis, 22, pp.277~290 (2002)
  17. Singh A, "Biliary strictures : diagnostic considerations and approach", Gastroenterol Rep, 3, pp.22~31 (2015)
  18. Xie C, "Indeterminate biliary strictures : a simplified approach", Expert Rev Gastroenterol Hepatol, 12, pp.189~199 (2018)
  19. Salgado SM, "Endoscopic palliation of malignant biliary strictures", World J Gastrointest Oncol, 8, pp.240~247 (2016)
  20. Stewart CJ, "Brush cytology in the assessment of pancreatico–biliary strictures : a review of 406 cases", J Clin Pathol, 54, pp.449~455 (2001)
  21. Ödemiş B, "Biliary tract obstruction secondary to malignant lymphoma : experience at a referral center", Dig Dis Sci, 52, pp.2323~2332 (2007)
  22. Kurzawinski TR, "A prospective study of biliary cytology in 100 patients with bile duct strictures", Hepatology, 18, pp.1399~1403 (1993)
  23. Seo DW, "Cholangioscopic findings in bile duct tumors", Gastrointest Endosc, 52, pp.630~634 (2000)
  24. Uhlmann D, "Management and outcome in patients with Klatskin-mimicking lesions of the biliary tree", J Gastrointest Surg, 10, pp.1144~1150 (2006)
  25. Paranandi B, "Biliary strictures : endoscopic assessment and management", Frontline Gastroenterol, 8, pp.133~137 (2017)
  26. Adler DG, "ASGE guideline : the role of ERCP in diseases of the biliary tract and the pancreas", Gastrointest Endosc, 62, pp.1~8 (2005)
  27. Moon YM, "A study of 122 cases of pancreatic cancer diagnosed by endoscopic retrograde cholangiopancreatography(ERCP)", Korean J Intern Med, 1, pp.131~139 (1986)
  28. Park MS, "Differentiation of extrahepatic bile duct cholangiocarcinoma from benign stricture : findings at MRCP versus ERCP", Radiology, 233, pp.234~240 (2004)
  29. Kalaitzakis E, "Endoscopic retrograde cholangiography does not reliably distinguish IgG4-associated cholangitis from primary sclerosing cholangitis or cholangiocarcinoma", Clin Gastroenterol Hepatol, 9, pp.800~803 (2011)
  30. Burnett AS, "Sensitivity of endoscopic retrograde cholangiopancreatography standard cytology : 10-y review of the literature", J Surg Res, 184, pp.304~311 (2013)
  31. Trikudanathan G, "Diagnostic yield of bile duct brushings for cholangiocarcinoma in primary sclerosing cholangitis : a systematic review and meta-analysis", Gastrointest Endosc, 79, pp.783~789 (2014)
  32. Kitajima Y, "Usefulness of transpapillary bile duct brushing cytology and forceps biopsy for improved diagnosis in patients with biliary strictures", J Gastroenterol Hepatol, 22, pp.1615~1620 (2007)
  33. Navaneethan U, "Comparative effectiveness of biliary brush cytology and intraductal biopsy for detection of malignant biliary strictures : a systematic review and meta-analysis", Gastrointest Endosc, 81, pp.168~176 (2015)
  34. Athanassiadou P, "Value of endoscopic retrograde cholangiopancreatography-guided brushings in preoperative assessment of pancreaticobiliary strictures : what’s new?", Acta Cytol, 52, pp.24~34 (2008)
  35. Kurzawinski T, "Diagnostic value of cytology for biliary stricture", Br J Surg, 80, pp.414~421 (1993)
  36. Rupp M, "Brushing cytology in biliary tract obstruction", Acta Cytol, 34, pp.221~226 (1990)
  37. Pugliese V, "Endoscopic retrograde forceps biopsy and brush cytology of biliary strictures : a prospective study", Gastrointest Endosc, 42, pp.520~526 (1995)
  38. Okonkwo AM, "Reclassification of"atypical"diagnoses in endoscopic retrograde cholangiopancreaticography-guided biliary brushings", Acta Cytol, 47, pp.435~442 (2003)
  39. De Bellis M, "Influence of stricture dilation and repeat brushing on the cancer detection rate of brush cytology in the evaluation of malignant biliary obstruction", Gastrointest Endosc, 58, pp.176~182 (2003)
  40. Fogel EL, "Effectiveness of a new long cytology brush in the evaluation of malignant biliary obstruction : a prospective study", Gastrointest Endosc, 63, pp.71~77 (2006)
  41. Mishra G, "Endoscopic ultrasound in the evaluation of radiologic abnormalities of the liver and biliary tree", Curr Gastroenterol Rep, 11, pp.150~154 (2009)
  42. Chung A, "Endoscopic ultrasound : an overview of its role in current clinical practice", Australas J Ultrasound Med, 12, pp.21~29 (2009)
  43. Conway JD, "The role of endoscopic ultrasound in biliary strictures", Curr Gastroenterol Rep, 10, pp.157~162 (2008)
  44. Fritscher-Ravens A, "EUS-guided fine-needle aspiration cytodiagnosis of hilar cholangiocarcinoma : a case series", Gastrointest Endosc, 52, pp.534~540 (2000)
  45. Sadeghi A, "Diagnostic yield of EUS-guided FNA for malignant biliary stricture : a systematic review and meta-analysis", Gastrointest Endosc, 83, pp.290~298 (2016)
  46. Ge N, "Clinical use of endoscopic ultrasound-guided fine-needle aspiration : guidelines and recommendations from Chinese Society of Digestive Endoscopy", Endosc Ultrasound, 6, pp.75~82 (2017)
  47. Levy MJ, "EUS-guided trucut biopsy", Gastrointest Endosc, 62, pp.417~426 (2005)
  48. Rodrigues-Pinto E, "Endoscopic ultrasound fine-needle aspiration vs. fine-needle biopsy : tissue is always the issue", Endosc Int Open, 4, pp.E506~E507 (2016)
  49. Aadam AA, "A randomized controlled cross-over trial and cost analysis comparing endoscopic ultrasound fine needle aspiration and fine needle biopsy", Endosc Int Open, 4, pp.E497~E505 (2016)
  50. Cosgrove ND, "Preoperative endoscopic ultrasound-guided fine needle aspiration for diagnosis of pancreatic cancer in potentially resectable patients : Is this safe?", Endosc Ultrasound, 4, pp.81~84 (2015)
  51. Vazquez-Sequeiros E, "Evaluation of indeterminate bile duct strictures by intraductal US", Gastrointest Endosc, 56, pp.372~379 (2002)
  52. Domagk D, "Endoscopic transpapillary biopsies and intraductal ultrasonography in the diagnostics of bile duct strictures : a prospective study", Gut, 51, pp.240~244 (2002)
  53. Farrell RJ, "Intraductal US is a useful adjunct to ERCP for distinguishing malignant from benign biliary strictures", Gastrointest Endosc, 56, pp.681~687 (2002)
  54. Menzel J, "Intraductal ultrasonography(IDUS)of the pancreato-biliary duct system : personal experience and review of literature", Eir J Ultrasound, 10, pp.105~115 (1999)
  55. Tamada K, "Endoscopic transpapillary bile duct biopsy with the combination of intraductal ultrasonography in the diagnosis of biliary strictures", Gut, 50, pp.326~331 (2002)
  56. Heinzow HS, "Comparative analysis of ERCP, IDUS, EUS and CT in predicting malignant bile duct strictures", World J Gastroenterol, 20, pp.10495~10503 (2014)
  57. Hyun Su Kim, "Prospective Comparison of Intraductal Ultrasonography-Guided Transpapillary Biopsy and Conventional Biopsy on Fluoroscopy in Suspected Malignant Biliary Strictures", Gut and Liver, 12(4), pp.463~470 (2018), 거트앤리버 소화기연관학회협의회
  58. Menzel J, "Polypoid tumors of the major duodenal papilla : preoperative staging with intraductal US, EUS, and CT—a prospective, histopathologically controlled study", Gastrointest Endosc, 49, pp.349~357 (1999)
  59. Menzel J, "Preoperative diagnosis of bile duct strictures--comparison of intraductal ultrasonography with conventional endosonography", Scand J Gastroenterol, 35, pp.77~82 (2000)
  60. Rizvi S, "Emerging technologies for the diagnosis of perihilar cholangiocarcinoma", Semin Liver Dis, 38, pp.160~169 (2018)
  61. Lee JH, "Endoscopic ultrasound and fine-needle aspiration of unexplained bile duct strictures", Am J Gastroenterol, 99, pp.1069~1073 (2004)
  62. Monga A, "Per-oral cholangioscopy", J Interv Gastroenterol, 1, pp.70~77 (2011)
  63. Kim HJ, "Tumor vessel : a valuable cholangioscopic clue of malignant biliary stricture", Gastrointest Endosc, 52, pp.635~638 (2000)
  64. Nimura Y, "Cholangioscopic differentiation of biliary strictures and polyps", Endoscopy, 21, pp.351~356 (1989)
  65. Sun X, "Is single-operator peroral cholangioscopy a useful tool for the diagnosis of indeterminate biliary lesion? A systematic review and meta-analysis", Gastrointest Endosc, 82, pp.79~87 (2015)
  66. Shah RJ, "Randomized study of digital single-operator cholangioscope compared to fiberoptic single-operator cholangioscope in a novel cholangioscopy bench model", Endosc Int Open, 6, pp.E851~E858 (2018)
  67. Draganov P, "The SpyGlass® direct visualization system for cholangioscopy", Gastroenterol Hepatol, 4, pp.469~470 (2008)
  68. Bernica J, "Cholangioscopy is safe and feasible in elderly patients", Clin Gastroenterol Hepatol, 16, pp.1293~1299 (2018)
  69. Wong JC, "Efficacy and safety of novel digital single-operator peroral cholangioscopy-guided laser lithotripsy for complicated biliary stones", Endosc Int Open, 5, pp.E54~E58 (2017)
  70. Shieh FK, "High-definition confocal endomicroscopy of the common bile duct", J Clin Gastroenterol, 46, pp.401~406 (2012)
  71. Polglase AL, "Pentax confocal endomicroscope : a novel imaging device for in vivo histology of the upper and lower gastrointestinal tract", Expert Rev Med Devices, 3, pp.549~556 (2006)
  72. Meining A, "In vivo histopathology for detection of gastrointestinal neoplasia with a portable, confocal miniprobe : an examiner blinded analysis", Clin Gastroenterol Hepatol, 5, pp.1261~1267 (2007)
  73. De Palma GD, "Confocal laser endomicroscopy in the"in vivo"histological diagnosis of the gastrointestinal tract", World J Gastroenterol, 15, pp.5770~5775 (2009)
  74. Meining A, "Classification of probe-based confocal laser endomicroscopy findings in pancreaticobiliary strictures", Endoscopy, 44, pp.251~257 (2012)
  75. Meining A, "Direct visualization of indeterminate pancreaticobiliary strictures with probe-based confocal laser endomicroscopy : a multicenter experience", Gastrointest Endosc, 74, pp.961~968 (2011)
  76. Caillol F, "Refined probe-based confocal laser endomicroscopy classification for biliary strictures : the Paris classification", Dig Dis Sci, 58, pp.1784~1789 (2013)
  77. Gao YD, "Comparison of diagnostic efficacy between CLE, tissue sampling, and CLE combined with tissue sampling for undetermined pancreaticobiliary strictures : a meta-analysis", Scand J Gastroenterol, 53, pp.482~489 (2018)
  78. Talreja JP, "Interpretation of probe-based confocal laser endomicroscopy of indeterminate biliary strictures : is there any interobserver agreement?", Dig Dis Sci, 57, pp.3299~3302 (2012)
  79. Talreja JP, "Pre-and post-training session evaluation for interobserver agreement and diagnostic accuracy of probebased confocal laser endomicroscopy for biliary strictures", Dig Endosc, 26, pp.577~580 (2014)
  80. Hajdinjak T, "UroVysion FISH test for detecting urothelial cancers : meta-analysis of diagnostic accuracy and comparison with urinary cytology testing", Urol Oncol, 26, pp.646~651 (2008)
  81. Moreno Luna LE, "Advanced cytologic techniques for the detection of malignant pancreatobiliary strictures", Gastroenterology, 131, pp.1064~1072 (2006)
  82. Fritcher EG, "A multivariable model using advanced cytologic methods for the evaluation of indeterminate pancreatobiliary strictures", Gastroenterology, 136, pp.2180~2186 (2009)
  83. Kipp BR, "A comparison of routine cytology and fluorescence in situ hybridization for the detection of malignant bile duct strictures", Am J Gastroenterol, 99, pp.1675~1681 (2004)
  84. Smoczynski M, "Routine brush cytology and fluorescence in situ hybridization for assessment of pancreatobiliary strictures", Gastrointest Endosc, 75, pp.65~73 (2012)
  85. Chaiteerakij R, "Fluorescence in situ hybridization compared with conventional cytology for the diagnosis of malignant biliary tract strictures in Asian patients", Gastrointest Endosc, 83, pp.1228~1235 (2016)
  86. Wu X, "Fluorescence in situ hybridization with the urovysion kit for the detection of biliary cancer in Chinese patients", Clin Lab, 63, pp.407~413 (2017)
  87. Liew ZH, "Role of fluorescence in situ hybridization in diagnosing cholangiocarcinoma in indeterminate biliary strictures", J Gastroenterol Hepatol, 33, pp.315~319 (2018)
  88. Menias CO, "Mimics of cholangiocarcinoma : spectrum of disease", Radiographics, 28, pp.1115~1129 (2008)
  89. Takakura WR, "The evolution of natural history of primary sclerosing cholangitis", Curr Opin Gastroenterol, 33, pp.71~77 (2017)
  90. Navaneethan U, "Fluorescence in situ hybridization for diagnosis of cholangiocarcinoma in primary sclerosing cholangitis : a systematic review and meta-analysis", Gastrointest Endosc, 79, pp.943~950 (2014)
  91. Bangarulingam SY, "Long-term outcomes of positive fluorescence in situ hybridization tests in primary sclerosing cholangitis", Hepatology, 51, pp.174~180 (2010)
  92. Testoni PA, "Optical coherence tomography for investigation of the pancreatico-biliary system : still experimental?", JOP, 8, pp.156~165 (2007)
  93. Testoni PA, "Optical coherence tomography for bile and pancreatic duct imaging", Gastrointest Endosc Clin N Am, 19, pp.637~653 (2009)
  94. Testoni PA, "Optical coherence tomography in detection of dysplasia and cancer of the gastrointestinal tract and bilio-pancreatic ductal system", World J Gastroenterol, 14, pp.6444~6452 (2008)
  95. Singh P, "In vivo optical coherence tomography imaging of the pancreatic and biliary ductal system", Gastrointest Endosc, 62, pp.970~974 (2005)
  96. Testoni PA, "Main pancreatic duct, common bile duct and sphincter of Oddi structure visualized by optical coherence tomography : An ex vivo study compared with histology", Dig Liver Dis, 38, pp.409~414 (2006)
  97. Seitz U, "First in vivo optical coherence tomography in the human bile duct", Endoscopy, 33, pp.1018~1021 (2001)
  98. Poneros JM, "Optical coherence tomography of the biliary tree during ERCP", Gastrointest Endosc, 55, pp.84~88 (2002)
  99. Arvanitakis M, "Intraductal optical coherence tomography during endoscopic retrograde cholangiopancreatography for investigation of biliary strictures", Endoscopy, 41, pp.696~701 (2009)
  100. De Boer JF, "Twenty-five years of optical coherence tomography : the paradigm shift in sensitivity and speed provided by Fourier domain OCT", Biomed Opt Express, 8, pp.3248~3280 (2017)
  101. Tyberg A, "Second generation optical coherence tomography : preliminary experience in pancreatic and biliary strictures", Dig Liver Dis, 50, pp.1214~1217 (2018)
  102. Yoon WJ, "Endoscopic evaluation of bile duct strictures", Gastrointest Endosc Clin N Am, 23, pp.277~293 (2013)

관련 논문AI추천

Recent advances of diagnostic approaches for indeterminate biliary tract obstruction차상우소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2021 · 제10권 제3호The Role of Peroral Cholangioscopy in Evaluating Indeterminate Biliary StricturesMouen A. Khashab, Nasim Parsa대한소화기내시경학회 · Clinical Endoscopy2019 · 제52권 제6호Endoscopic methods for cytopathologic diagnosis of bile duct strictures김홍주, Nam Hee Kim소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2019 · 제8권 제4호Endoscopic Ultrasound-Guided Fine Needle Aspiration and Endoscopic Retrograde Cholangiopancreatography-Based Tissue Sampling in Suspected Malignant Biliary Strictures: A Meta-Analysis of Same-Session ProceduresChristopher C. Thompson, Diogo Turiani Hourneax de Moura, Eduardo Guimarães Hourneaux De Moura, Igor Braga Ribeiro, Marvin Ryou, Wanderlei Marques Bernardo대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제4호Intraductal ultrasonography for biliary strictures천영국대한소화기내시경학회 · Clinical Endoscopy2023 · 제56권 제2호Prospective Comparison of Intraductal Ultrasonography-Guided Transpapillary Biopsy and Conventional Biopsy on Fluoroscopy in Suspected Malignant Biliary StricturesHee Kyung Kim, Hyun Jong Choi, Hyun Su Kim, Hyun Woo Lee, Jong Ho Moon, Moon Han Choi, Sang-Heum Park, Sang-Woo Cha, Tae Hoon Lee, Young Deok Cho, Yun Nah Lee거트앤리버 소화기연관학회협의회 · Gut and Liver2018 · 제12권 제4호

이 간행물의 다른 논문 (26건)

Commentary on “Comparative Study of Narrow-Band Imaging and i-scan for Predicting the Histology of Intermediate-to-Large Colorectal Polyps: A Prospective, Randomized Pilot Study”정윤호, Masayuki Katopp. 781-782Transpapillary Gallbladder Drainage for Acute Cholecystitis: Two Stents or Not Two StentsRyan Law, Jad AbiMansourpp. 783-784Treatment of Walled-off Necrosis – Outcomes are Best When Endoscopy and Percutaneous Interventions are Complimentary, Not ExclusiveShyam Varadarajulu, Ji Young Bangpp. 785-786Current Status of Endoscopic Vacuum Therapy in the Management of Esophageal Perforations and Post-Operative LeaksImogen Livingstone, Sotiris Mastoridis, Bruno Sgromo, Lily Pollockpp. 787-797Over-the-Scope Clip in the Treatment of Gastrointestinal Leaks and PerforationsMike T. Wei, Ji Yong Ahn, Shai Friedlandpp. 798-804
원문 보기