The endoscopist and malignant and non-malignant biliary obstruction

BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR BASIS OF DISEASE

卷:1864

Article

Pereira, S. P.^1,2  Goodchild, G.²  Webster, G. J. M.² 

[1] UCL, UCL Inst Liver & Digest Hlth, Royal Free Campus,Pond St, London NW3 2PF, England

[2] Univ Coll London NHS Fdn Trust, Dept Gastroenterol, London, England

关键词: Cholangiocarcinoma;    Stents;    Endoscopy;    ERCP;    Endoscopic ultrasound;   

DOI  :  10.1016/j.bbadis.2017.09.013

来源: Elsevier

【 摘 要 】

Patients with biliary strictures often represent a diagnostic and therapeutic challenge, due to the site and complexity of biliary obstruction and wide differential diagnosis. Multidisciplinary decision making is required to reach an accurate and timely diagnosis and to plan optimal care. Developments in endoscopic ultrasound and peroral cholangioscopy have advanced the diagnostic yield of biliary endoscopy, and novel optical imaging techniques are emerging. Endoscopic approaches to biliary drainage are preferred in most scenarios, and recent advances in therapeutic endoscopic ultrasound allow drainage where the previous alternatives were only percutaneous or surgical. Here we review recent advances in endoscopic practice for the diagnosis and management of biliary strictures. This article is part of a Special Issue entitled: Cholangiocytes in Health and Disease edited by Jesus Banales, Marco Marzioni and Peter Jansen.

【 授权许可】

Free