Tissue sampling for biliary strictures using novel elbow biopsy forceps

Abstract We aim to evaluate the safety and feasibility of novel elbow biopsy forceps with a prebent head for sampling biliary strictures in our institution. A total of 24 patients (15 males and 9 females) with biliary stricture who underwent biliary biopsy during endoscopic retrograde cholangiopancr...

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Autores principales:	Huahui Zhang, Chunyan Huo, Yongxin Guo, Keyuan Zhu, Fengdong Li, Jin Huang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/550bd12bf877411fb23696a23a3b08e2
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spelling	oai:doaj.org-article:550bd12bf877411fb23696a23a3b08e22021-12-02T16:53:20ZTissue sampling for biliary strictures using novel elbow biopsy forceps10.1038/s41598-021-90197-42045-2322https://doaj.org/article/550bd12bf877411fb23696a23a3b08e22021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90197-4https://doaj.org/toc/2045-2322Abstract We aim to evaluate the safety and feasibility of novel elbow biopsy forceps with a prebent head for sampling biliary strictures in our institution. A total of 24 patients (15 males and 9 females) with biliary stricture who underwent biliary biopsy during endoscopic retrograde cholangiopancreatography (ERCP) using novel elbow biopsy forceps from June 2019 to August 2020 were retrospectively included. The novel biopsy forceps had a head angulation of 30 degrees and were able to cannulate the bile duct and approach the biliary strictures easily to obtain adequate samples. The technical success rate, incidence of adverse events, and consistency of pathological and surgical specimens were assessed. This device was used successfully in all patients. A total of 52 biopsy specimens were obtained from 24 patients, and all specimens could be used for histopathological examination. Seventeen patients were diagnosed with malignancy based on biopsies, and all of them underwent surgical treatment. The histopathological findings of the biopsy specimens were in accordance with the postoperative pathology diagnoses. One of the seven patients was diagnosed with a benign lesion that was proven to be malignant during surgical treatment in the follow-up period. Two patients experienced a single episode of acute pancreatitis and recovered shortly after appropriate treatment. No patients experienced biliary perforation or biliary bleeding. Biopsy using novel elbow forceps in patients with biliary stenosis is feasible and safe. The novel device and related biopsy technique may be widely applied for biliary disease differentiation.Huahui ZhangChunyan HuoYongxin GuoKeyuan ZhuFengdong LiJin HuangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Huahui Zhang Chunyan Huo Yongxin Guo Keyuan Zhu Fengdong Li Jin Huang Tissue sampling for biliary strictures using novel elbow biopsy forceps
description	Abstract We aim to evaluate the safety and feasibility of novel elbow biopsy forceps with a prebent head for sampling biliary strictures in our institution. A total of 24 patients (15 males and 9 females) with biliary stricture who underwent biliary biopsy during endoscopic retrograde cholangiopancreatography (ERCP) using novel elbow biopsy forceps from June 2019 to August 2020 were retrospectively included. The novel biopsy forceps had a head angulation of 30 degrees and were able to cannulate the bile duct and approach the biliary strictures easily to obtain adequate samples. The technical success rate, incidence of adverse events, and consistency of pathological and surgical specimens were assessed. This device was used successfully in all patients. A total of 52 biopsy specimens were obtained from 24 patients, and all specimens could be used for histopathological examination. Seventeen patients were diagnosed with malignancy based on biopsies, and all of them underwent surgical treatment. The histopathological findings of the biopsy specimens were in accordance with the postoperative pathology diagnoses. One of the seven patients was diagnosed with a benign lesion that was proven to be malignant during surgical treatment in the follow-up period. Two patients experienced a single episode of acute pancreatitis and recovered shortly after appropriate treatment. No patients experienced biliary perforation or biliary bleeding. Biopsy using novel elbow forceps in patients with biliary stenosis is feasible and safe. The novel device and related biopsy technique may be widely applied for biliary disease differentiation.
format	article
author	Huahui Zhang Chunyan Huo Yongxin Guo Keyuan Zhu Fengdong Li Jin Huang
author_facet	Huahui Zhang Chunyan Huo Yongxin Guo Keyuan Zhu Fengdong Li Jin Huang
author_sort	Huahui Zhang
title	Tissue sampling for biliary strictures using novel elbow biopsy forceps
title_short	Tissue sampling for biliary strictures using novel elbow biopsy forceps
title_full	Tissue sampling for biliary strictures using novel elbow biopsy forceps
title_fullStr	Tissue sampling for biliary strictures using novel elbow biopsy forceps
title_full_unstemmed	Tissue sampling for biliary strictures using novel elbow biopsy forceps
title_sort	tissue sampling for biliary strictures using novel elbow biopsy forceps
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/550bd12bf877411fb23696a23a3b08e2
work_keys_str_mv	AT huahuizhang tissuesamplingforbiliarystricturesusingnovelelbowbiopsyforceps AT chunyanhuo tissuesamplingforbiliarystricturesusingnovelelbowbiopsyforceps AT yongxinguo tissuesamplingforbiliarystricturesusingnovelelbowbiopsyforceps AT keyuanzhu tissuesamplingforbiliarystricturesusingnovelelbowbiopsyforceps AT fengdongli tissuesamplingforbiliarystricturesusingnovelelbowbiopsyforceps AT jinhuang tissuesamplingforbiliarystricturesusingnovelelbowbiopsyforceps
_version_	1718382858087694336

Tissue sampling for biliary strictures using novel elbow biopsy forceps

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