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The usefulness of percutaneous transhepatic cholangioscopy for identifying malignancies in distal commom bile duct strictures / Eun Hee Kim ; Hyun-Joo Kim ; Hyoung-Chul Oh ; Kwang Ha Lee ; Ju Young Jung ; Saihui Kim ; Sang Soo Lee ; Dong Wan Seo ; Myung-Hwan Kim ; Sung Koo Lee 1

[요약] 1

Introduction 1

Materials and methods 1

Statistical analysis 3

Results 3

Discussion 5

REFERENCES 6

초록보기

The diagnostic accuracy of percutaneous transhepatic cholangioscopy(PTCS) was compared to that of three radiologic modalities in distal common bile duct(CBD) strictures for the evaluation of clinical application. Ninety-five patients who underwent PTCS for the evaluation of distal CBD strictures (35 malignant and 60 benign) whose masses were not obvious from radiologic imagings were included. Confirmative diagnosis could not be reached by endoscopic retrograde cholangiopancreatography(ERCP) or radiologic findings in all cases. Specific findings on the computed tomography(CT), magnetic resonance cholangiopancreatography(MRCP) and direct cholangiography were analyzed among 68(25 malignant and 43 benign) out of the 95 patients in order to determine the sensitivity and specificity of three radiologic studies for the diagnosis of malignant distal CBD strictures, and to compare those results with those by a combination of PTCS-guided biopsy and tumor vessel observation on cholangioscopy. The sensitivity/specificity of CT, MRCP and direct cholangiography including ERCP in diagnosing malignant distal CBD strictures were 42.9%/65.8%, 53.3%/58.3%, and 70.8%/47.6% respectively, while it was 96%/100% for the combination of PTCS-guided biopsy and tumor vessel. PTCS is a useful method for differential diagnosis of distal CBD strictures, particularly when it is difficult to distinguish benign from malignant strictures by radiologic studies and when peroral approach is not feasible.

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기사명 저자명 페이지 원문 목차
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The usefulness of percutaneous transhepatic cholangioscopy for identifying malignancies in distal commom bile duct strictures Eun Hee Kim ;Hyun-Joo Kim ;Hyoung-Chul Oh ;Kwang Ha Lee ;Ju Young Jung ;Saihui Kim ;Sang Soo Lee ;Do pp.579-585

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ERRATUM : The effect of in vivo grown corneal epithelium transplantation on persistent epithelial defects with limbal stem cell deficiency. J Korean Med Sci 2008; 23: 502-8 김지택, 전연숙, 송계용, 김재찬 pp.752-752

참고문헌 (23건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Staging of biliary carcinoma: cholangiography and cholangioscopy. 네이버 미소장
2 Percutaneous transhepatic cholangioscopy for diagnosis and therapy of biliary diseases in older patients. 네이버 미소장
3 Percutaneous trans-hepatic cholangioscopy and lithotripsy in the treatment of intrahepatic stones: a study with 5 year follow-up 네이버 미소장
4 Diagnostic and therapeutic uses of ERCP in pancreatic and biliary tract malignancies 네이버 미소장
5 Cholangioscopic differentiation of biliary strictures and polyps. 네이버 미소장
6 Cholangioscopy 네이버 미소장
7 Peroral cholangiopancreatosocopy (PCPS) under duodenoscopic guidance. 네이버 미소장
8 Peroral direct cholangioscopy (PDCS) using routine straight-view endoscope: first report. 네이버 미소장
9 A new system for rapid large-caliber percutaneous transhepatic drainage in patients with obstructive jaundice: a prospective randomized trial. 네이버 미소장
10 Percutaneous transhepatic cholangioscopic examination: A necessity for the biliary endoscopist 네이버 미소장
11 Diagnostic and therapeutic peroral and percutaneous cholangioscopy. 네이버 미소장
12 Tumor vessel: A valuable cholangioscopic clue of malignant biliary stricture 네이버 미소장
13 Percutaneous Cholangiofiberscopic Endoluminal Forceps Biopsy of Intrabile Duct Diseases 네이버 미소장
14 ERCP or EUS for tissue diagnosis of biliary strictures? a prospective comparative study 네이버 미소장
15 Endoscopic retrograde forceps biopsy and brush cytology of biliary strictures: a prospective study 네이버 미소장
16 Limitations of percutaneous transhepatic cholangioscopy for the diagnosis of the intramural extension of bile duct carcinoma. 네이버 미소장
17 Yamase H, Nimura Y, Hayakawa N. Differential diagnosis on stenosis of ductal bile duct by percutaneous transhepatic cholangioscopy (in Japanese). Gastroenterol Endosc 1988; 30: 175-82. 미소장
18 Endoscopic ultrasound guided fine needle aspiration of malignant pancreatic lesions. 네이버 미소장
19 Endoscopic Ultrasound-Guided Fine-Needle Biopsy in Europe 네이버 미소장
20 Endoscopic ultrasound-guided fine-needle aspiration 네이버 미소장
21 Detection of pancreatic metastases by EUS-guided fine-needle aspiration 네이버 미소장
22 Giovannini M, Seitz JF, Monges G, Rabbia I, Perrier H. Fine-needle aspiration biopsy guided by endoscopic ultrasonography. Results in 141 patients. Endoscopy 1995; 27: 171-7. 미소장
23 Gress F, Gottlieb K, Sherman S, Lehman G. Endoscopic ultrasonography-guided fine-needle aspiration biopsy of suspected pancreatic cancer. Ann Intern Med 미소장

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