» Articles » PMID: 28261440

Biliary Strictures: Endoscopic Assessment and Management

Overview
Specialty Gastroenterology
Date 2017 Mar 7
PMID 28261440
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

The diagnosis of biliary strictures can be challenging. Endoscopy has an established role in the diagnosis and therapy of biliary strictures. However, the diagnostic yield from conventional endoscopic retrograde cholangiopancreatography tissue sampling is modest. Improvements in existing technologies as well as the implementation of novel technologies and techniques have the potential to improve the diagnostic performance of endoscopy and expand its therapeutic role. Recent studies have enabled greater clarity about the role of preoperative biliary drainage and the choice of stents in this setting as well as the utility of metal stents in benign and malignant disease.

Citing Articles

Artificial intelligence for automatic diagnosis and pleomorphic morphological characterization of malignant biliary strictures using digital cholangioscopy.

Mascarenhas M, Almeida M, Gonzalez-Haba M, Castillo B, Widmer J, Costa A Sci Rep. 2025; 15(1):5447.

PMID: 39952950 PMC: 11828993. DOI: 10.1038/s41598-025-87279-y.


Deep Learning for Automatic Diagnosis and Morphologic Characterization of Malignant Biliary Strictures Using Digital Cholangioscopy: A Multicentric Study.

Mascarenhas Saraiva M, Ribeiro T, Gonzalez-Haba M, Castillo B, Ferreira J, Boas F Cancers (Basel). 2023; 15(19).

PMID: 37835521 PMC: 10571941. DOI: 10.3390/cancers15194827.


Endoscopic Ultrasound in the Diagnosis of Extrahepatic Cholangiocarcinoma: What Do We Know in 2023?.

Orzan R, Pojoga C, Agoston R, Seicean R, Seicean A Diagnostics (Basel). 2023; 13(6).

PMID: 36980331 PMC: 10047764. DOI: 10.3390/diagnostics13061023.


Endoscopic Evaluation of Biliary Strictures: Current and Emerging Techniques.

Huynh R, Owers C, Pinto C, Nguyen T, Kwok T Clin Endosc. 2021; 54(6):825-832.

PMID: 34038998 PMC: 8652159. DOI: 10.5946/ce.2021.048.


The incremental benefit of EUS for the identification of malignancy in indeterminate extrahepatic biliary strictures: A systematic review and meta-analysis.

Chiang A, Theriault M, Salim M, James P Endosc Ultrasound. 2019; 8(5):310-317.

PMID: 31249170 PMC: 6791112. DOI: 10.4103/eus.eus_24_19.


References
1.
Bowlus C, Olson K, Gershwin M . Evaluation of indeterminate biliary strictures. Nat Rev Gastroenterol Hepatol. 2015; 13(1):28-37. DOI: 10.1038/nrgastro.2015.182. View

2.
Tol J, van Hooft J, Timmer R, Kubben F, van der Harst E, de Hingh I . Metal or plastic stents for preoperative biliary drainage in resectable pancreatic cancer. Gut. 2015; 65(12):1981-1987. DOI: 10.1136/gutjnl-2014-308762. View

3.
Navaneethan U, Hasan M, Kommaraju K, Zhu X, Hebert-Magee S, Hawes R . Digital, single-operator cholangiopancreatoscopy in the diagnosis and management of pancreatobiliary disorders: a multicenter clinical experience (with video). Gastrointest Endosc. 2016; 84(4):649-55. DOI: 10.1016/j.gie.2016.03.789. View

4.
Deviere J, Reddy D, Puspok A, Ponchon T, Bruno M, Bourke M . Successful management of benign biliary strictures with fully covered self-expanding metal stents. Gastroenterology. 2014; 147(2):385-95. DOI: 10.1053/j.gastro.2014.04.043. View

5.
Scheuermann U, Widyaningsih R, Hoppe-Lotichius M, Heise M, Otto G . Detection of benign hilar bile duct stenoses - A retrospective analysis in 250 patients with suspicion of Klatskin tumour. Ann Med Surg (Lond). 2016; 8:43-9. PMC: 4878841. DOI: 10.1016/j.amsu.2016.05.001. View