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Diagnostic and therapeutic utility of single-operator peroral cholangioscopy for indeterminate biliary lesions and bile duct stones
- Source :
- European Journal of Gastroenterology & Hepatology. 24:656-664
- Publication Year :
- 2012
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2012.
-
Abstract
- BACKGROUND AND AIM We aimed to evaluate the diagnostic utility of single-operator peroral cholangioscopy (SOC) for indeterminate biliary lesions and its usefulness in electrohydraulic lithotripsy (EHL) of biliary stones not amenable to conventional endoscopic therapy. PATIENTS AND METHODS All patients undergoing SpyGlass SOC in four UK tertiary centres between 2008 and 2010 were retrospectively enrolled. Patients were followed up until death or the last clinic visit until May 2011. The operating characteristics of SOC for detecting malignant lesions and the stone clearance rate after SOC-guided EHL were calculated. RESULTS A total of 165 patients underwent 179 SOC procedures. Sixty-six percent were referred for indeterminate biliary strictures, 13% for filling defects and 21% for SOC-guided EHL. Cannulation with the SOC system was successful in 95% but visualization was inadequate in 13%. Primary sclerosing cholangitis was a risk factor for failed cannulation and conscious sedation (vs. general anaesthesia) for inadequate visualization (P
- Subjects :
- Male
medicine.medical_specialty
Biopsy
Sedation
Bile Duct Diseases
Primary sclerosing cholangitis
Cholangiocarcinoma
Diagnosis, Differential
Cholelithiasis
Lithotripsy
otorhinolaryngologic diseases
medicine
Humans
General anaesthesia
Endoscopy, Digestive System
Aged
Retrospective Studies
Cholangiopancreatography, Endoscopic Retrograde
Hepatology
medicine.diagnostic_test
business.industry
Bile duct
General surgery
Gastroenterology
Retrospective cohort study
Middle Aged
medicine.disease
Endoscopy
Pancreatic Neoplasms
Bile Ducts, Intrahepatic
Treatment Outcome
medicine.anatomical_structure
Bile Duct Neoplasms
Female
Radiology
Differential diagnosis
medicine.symptom
business
Subjects
Details
- ISSN :
- 0954691X
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- European Journal of Gastroenterology & Hepatology
- Accession number :
- edsair.doi.dedup.....cea7c8e113ccd4148cdfec8701f4a1ef