Confocal laser endomicroscopy in the diagnosis of extrahepatic bile duct diseases-Reference-Cited by-同舟云学术

Confocal laser endomicroscopy in the diagnosis of extrahepatic bile duct diseases

Published:2019-04-02 Issue:1 Volume:24 Page:11-16
ISSN:2408-9524
Container-title:Annaly khirurgicheskoy gepatologii = Annals of HPB surgery
language:
Short-container-title:Ann. hir. gepatol.

Author:

Solodinina E. N.¹^ORCID,Fomicheva N. V.¹^ORCID,Ulyanov D. N.²^ORCID

Affiliation:

1. Central Clinical Hospital with a Polyclinic of Presidential Administration of the Russian Federation

2. European Medical Center

Abstract

Aim. To evaluate information content of confocal laser endomicroscopy with targeted biopsy in verifying etiology of extrahepatic bile duct strictures.Material and methods. There were 28 patients with extrahepatic bile duct strictures who underwent retrograde intervention with confocal laser endomicroscopy and targeted biopsy. Data of confocal laser endomicroscopy and biopsy were compared with final postoperative and histological diagnosis. Follow-up within 1–4 years after endoscopic treatment was also considered.Results. Diagnostic sensitivity, specificity and overall accuracy of the method in differential diagnosis of common bile duct strictures were 91.7%, 93.7% and 92.8%, respectively. Complication (acute edematous pancreatitis) occurred in 1 (3.6%) case.Conclusion. Confocal laser endomicroscopy is new effective method for in vivo microscopic assessment of mucous membrane. Despite technical complexity, the method is not associated with advanced morbidity and, accordingly, has no additional contraindications in comparison with ERCP.

Publisher

Annals of Surgical Hepatology

Subject

Gastroenterology,Hepatology,Surgery

Reference13 articles.

1. Kaprin A.D., Starinskiy V.V., Petrova G.V. Zlokachestvennie novoobrazovaniya v Rossii v 2013 godu (zabolevaemost i smertnost) [Malignancies in Russia in 2013 (morbidity and mortality)]. Moscow: MNIOI im. P.A. Herzena, 2015. 250 p. (In Russian)

2. Boboev B.D. The role of endoscopic ultrasonography in the diagnosis of cholelithiasis and inflammatory strictures of the bile ducts. Vestnik khirurgii im. I.I. Grekova. 2012; 3: 39–41. (In Russian)

3. Boboev B.D. Ultrasound in the diagnosis of cholelithiasis and its complications. Vestnik khirurgii im. I.I. Grekova.2012; 171 (2): 21–24. (In Russian)

4. Shuleshova A.G., Zavyalov M.O., Ulyanov D.N. Endoscopic diagnostic methods with confocal endomicroscopy in the diagnosis of gastric malignancies. Pirogov Russian Journal of Surgery = Khirurgiya. Zhurnal imeni N.I. Pirogova. 2014; 8: 9–15. (In Russian)

5. Boberg K.M., Jebsen P., Clausen O.P., Foss A., Aabakken L., Schrumpf E. Diagnostic benefit of biliary brush cytology in cholangiocarcinoma in primary sclerosing cholangitis. J. Hepatol. 2006; 45 (4): 568–574. https://doi.org/10.1016/j.jhep.2006.05.010.

Cited by 1 articles. 订阅此论文施引文献订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献

1. Diagnostic accuracy of probe-based confocal laser endomicroscopy and tissue sampling by endoscopic retrograde cholangiopancreatography in indeterminate biliary strictures: a meta‑analysis;Scientific Reports;2022-05-04