Advances in the Investigation of Obstructive Jaundice

Overview

Journal Curr Gastroenterol Rep

Specialty Gastroenterology

Date 2012 Sep 14

PMID 22972453

Citations 3

Authors

J Addley

R M Mitchell

Affiliations

Soon will be listed here.

Abstract

The causes of obstructive jaundice are varied, and timely, accurate methods of investigation are essential to avoid the development of complications. Imaging, invasive or non-invasive, should be carefully selected depending on the suspected underlying pathology in order to determine the degree and level of obstruction along with tissue acquisition and staging where relevant. Several imaging techniques will also allow subsequent therapeutic interventions to be carried out. This article reviews advances in the investigation of obstructive jaundice, highlighting recent developments, many of which at present remain restricted to large centres of expertise, but are likely to become more widespread in use as research progresses and local experience continues to improve.

Citing Articles

Comparison of Efficacy and Safety between Endoscopic Retrograde Cholangiopancreatography and Percutaneous Transhepatic Cholangial Drainage for the Treatment of Malignant Obstructive Jaundice: A Systematic Review and Meta-Analysis.

Pang L, Wu S, Kong J Digestion. 2023; 104(2):85-96.

PMID: 36617409 PMC: 10015759. DOI: 10.1159/000528020.

Inhibition of heat shock protein 90 alleviates cholestatic liver injury by decreasing IL-1β and IL-18 expression.

Tong C, Li J, Lin W, Cen W, Zhang W, Zhu Z Exp Ther Med. 2021; 21(3):241.

PMID: 33603849 PMC: 7851627. DOI: 10.3892/etm.2021.9672.

Simvastatin augments activation of liver regeneration through attenuating transforming growth factor-β1 induced-apoptosis in obstructive jaundice rats.

Fang D, He Y, Luan Z Exp Ther Med. 2017; 14(5):4839-4845.

PMID: 29201188 PMC: 5704311. DOI: 10.3892/etm.2017.5156.

References

Van Beers B, Lacrosse M, Trigaux J, de Canniere L, De Ronde T, Pringot J . Noninvasive imaging of the biliary tree before or after laparoscopic cholecystectomy: use of three-dimensional spiral CT cholangiography. AJR Am J Roentgenol. 1994; 162(6):1331-5. DOI: 10.2214/ajr.162.6.8191994. View

Tseng L, Jao Y, Mo L, Lin R . Over-the-wire US catheter probe as an adjunct to ERCP in the detection of choledocholithiasis. Gastrointest Endosc. 2001; 54(6):720-3. DOI: 10.1067/mge.2001.119255. View

Adamek H, Albert J, Breer H, Weitz M, Schilling D, Riemann J . Pancreatic cancer detection with magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography: a prospective controlled study. Lancet. 2000; 356(9225):190-3. DOI: 10.1016/S0140-6736(00)02479-X. View

Palazzo L, Girollet P, Salmeron M, Silvain C, Roseau G, Canard J . Value of endoscopic ultrasonography in the diagnosis of common bile duct stones: comparison with surgical exploration and ERCP. Gastrointest Endosc. 1995; 42(3):225-31. DOI: 10.1016/s0016-5107(95)70096-x. View

Yang M, Chen T, Wang S, Tsai Y, Su C, Wu C . Biochemical predictors for absence of common bile duct stones in patients undergoing laparoscopic cholecystectomy. Surg Endosc. 2007; 22(7):1620-4. DOI: 10.1007/s00464-007-9665-2. View

Heiken J, Brink J, Vannier M . Spiral (helical) CT. Radiology. 1993; 189(3):647-56. DOI: 10.1148/radiology.189.3.8234684. View

Ker C, Chen J, Lee K, SHEEN P, Wu C . Assessment of serum and bile levels of CA19-9 and CA125 in cholangitis and bile duct carcinoma. J Gastroenterol Hepatol. 1991; 6(5):505-8. DOI: 10.1111/j.1440-1746.1991.tb00896.x. View

Palazzo L, Roseau G, Gayet B, Vilgrain V, Belghiti J, Fekete F . Endoscopic ultrasonography in the diagnosis and staging of pancreatic adenocarcinoma. Results of a prospective study with comparison to ultrasonography and CT scan. Endoscopy. 1993; 25(2):143-50. DOI: 10.1055/s-2007-1010273. View

Chang L, Lo S, Stabile B, Lewis R, de Virgilio C . Gallstone pancreatitis: a prospective study on the incidence of cholangitis and clinical predictors of retained common bile duct stones. Am J Gastroenterol. 1998; 93(4):527-31. DOI: 10.1111/j.1572-0241.1998.159_b.x. View

10.

Liu C, Fan S, Lo C, Tso W, Wong Y, Poon R . Comparison of early endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography in the management of acute biliary pancreatitis: a prospective randomized study. Clin Gastroenterol Hepatol. 2005; 3(12):1238-44. DOI: 10.1016/s1542-3565(05)00619-1. View

11.

Barkun A, Barkun J, Fried G, Ghitulescu G, Steinmetz O, Pham C . Useful predictors of bile duct stones in patients undergoing laparoscopic cholecystectomy. McGill Gallstone Treatment Group. Ann Surg. 1994; 220(1):32-9. PMC: 1234284. DOI: 10.1097/00000658-199407000-00006. View

12.

Ferrari F, Fantozzi F, Tasciotti L, Vigni F, Scotto F, Frasci P . US, MRCP, CCT and ERCP: a comparative study in 131 patients with suspected biliary obstruction. Med Sci Monit. 2005; 11(3):MT8-18. View

13.

Pasanen P, Partanen K, Pikkarainen P, Alhava E, Janatuinen E, Pirinen A . A comparison of ultrasound, computed tomography and endoscopic retrograde cholangiopancreatography in the differential diagnosis of benign and malignant jaundice and cholestasis. Eur J Surg. 1993; 159(1):23-9. View

14.

Speer A, Cotton P, Russell R, Mason R, Hatfield A, Leung J . Randomised trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice. Lancet. 1987; 2(8550):57-62. DOI: 10.1016/s0140-6736(87)92733-4. View

15.

Kuhn J, Busemann A, Lerch M, Heidecke C, Hosten N, Puls R . Percutaneous biliary drainage in patients with nondilated intrahepatic bile ducts compared with patients with dilated intrahepatic bile ducts. AJR Am J Roentgenol. 2010; 195(4):851-7. DOI: 10.2214/AJR.09.3461. View

16.

Einstein D, Lapin S, Ralls P, Halls J . The insensitivity of sonography in the detection of choledocholithiasis. AJR Am J Roentgenol. 1984; 142(4):725-8. DOI: 10.2214/ajr.142.4.725. View

17.

Vendemiale G, Grattagliano I, Lupo L, Memeo V, Altomare E . Hepatic oxidative alterations in patients with extra-hepatic cholestasis. Effect of surgical drainage. J Hepatol. 2002; 37(5):601-5. DOI: 10.1016/s0168-8278(02)00234-9. View

18.

Masci E, Toti G, Mariani A, Curioni S, Lomazzi A, Dinelli M . Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am J Gastroenterol. 2001; 96(2):417-23. DOI: 10.1111/j.1572-0241.2001.03594.x. View

19.

Tillich M, Mischinger H, Preisegger K, Rabl H, Szolar D . Multiphasic helical CT in diagnosis and staging of hilar cholangiocarcinoma. AJR Am J Roentgenol. 1998; 171(3):651-8. DOI: 10.2214/ajr.171.3.9725291. View

20.

Klein H, Wein B, Truong S, Pfingsten F, Gunther R . Computed tomographic cholangiography using spiral scanning and 3D image processing. Br J Radiol. 1993; 66(789):762-7. DOI: 10.1259/0007-1285-66-789-762. View