作者
Mohan Ramchandani, D Nageshwar Reddy, Rajesh Gupta, Sandeep Lakhtakia, Manu Tandan, Santosh Darisetty, Anuradha Sekaran, Guduru Venkat Rao
发表日期
2011/9/1
期刊
Gastrointestinal endoscopy
卷号
74
期号
3
页码范围
511-519
出版商
Mosby
简介
BACKGROUND
Currently available techniques to diagnose indeterminate biliary lesions have many limitations.
OBJECTIVE
To assess the accuracy of single-operator peroral cholangioscopy by using the SpyGlass system to differentiate malignant from benign disease in patients with indeterminate biliary lesions.
DESIGN
Prospective, single-arm, single-center study.
SETTING
Tertiary referral center.
PATIENTS
Thirty-six patients with indeterminate biliary strictures and filling defects who had inconclusive results on previous biliary ductal tissue sampling.
INTERVENTIONS
SpyGlass cholangioscopy with cholangioscopically guided intraductal biopsies.
MAIN OUTCOME MEASUREMENTS
Accuracy of SpyGlass visual impression and SpyBite biopsies for differentiating malignant from benign ductal lesions.
RESULTS
Thirty-six patients (22 men, mean age 48.3 years [range 27-68 years]) with indeterminate stricture and …
引用总数
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