Possibilities of per-oral transpapillary cholangioscopy in oncological practice

Relevance. Diagnosis of malignant diseases causing bile duct strictures is a big challenge. At admission, patients with suspected biliary tract stricture, initially undergo endoscopic retrograde cholangiopancreatography (ERCP) as a diagnostic and treatment method. The morphological diagnosis of bile...

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Autores principales:	Ilia N. Yurichev, Mikhail E. Timofeev, Olga A. Malikhova, Ruslan S. Savosin
Formato:	article
Lenguaje:	RU
Publicado:	IP Habib O.N. 2020
Materias:	endoscopic retrograde cholangiopancreatography cholangioscopy spyglass intraductal biopsy malignant strictures of the bile duct Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/85021f97cd0d43e39598b24e0add2b59
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spelling	oai:doaj.org-article:85021f97cd0d43e39598b24e0add2b592021-11-30T17:03:34ZPossibilities of per-oral transpapillary cholangioscopy in oncological practice1815-14341815-144210.26442/18151434.2020.1.200023https://doaj.org/article/85021f97cd0d43e39598b24e0add2b592020-05-01T00:00:00Zhttps://modernonco.orscience.ru/1815-1434/article/viewFile/34170/22583https://doaj.org/toc/1815-1434https://doaj.org/toc/1815-1442Relevance. Diagnosis of malignant diseases causing bile duct strictures is a big challenge. At admission, patients with suspected biliary tract stricture, initially undergo endoscopic retrograde cholangiopancreatography (ERCP) as a diagnostic and treatment method. The morphological diagnosis of bile duct stricture based on ERCP with brush biopsy or intraductal forceps biopsy is limited by their low sensitivity. Consequently, a significant proportion of strictures remains undiagnosed, which led to the development of methods based on cholangioscopy. Aim. To determine the role of per-oral transpapillary cholangioscopy (TCS) in a specialized cancer clinic. Materials and methods. SpyGlass direct visualization system for per-oral intraductal examination from Boston Scientific was clinically tasted in Blokhin National Medical Research Center of Oncology of the Ministry of Health of Russia. Using this electronic system, TCS was performed in 4 patients with various malignant diseases. Results. In all cases, TCS was successful. In all patients, the diagnosis was confirmed with a forceps intraductal biopsy using Spybite forceps. Conclusion. Single-use electronic direct visualization system for per-oral intraductal examination and interventions like SpyGlass can be recommended for use in specialized cancer centers.Ilia N. YurichevMikhail E. TimofeevOlga A. MalikhovaRuslan S. SavosinIP Habib O.N.articleendoscopic retrograde cholangiopancreatographycholangioscopyspyglassintraductal biopsymalignant strictures of the bile ductNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282RUСовременная онкология, Vol 22, Iss 1, Pp 40-45 (2020)
institution	DOAJ
collection	DOAJ
language	RU
topic	endoscopic retrograde cholangiopancreatography cholangioscopy spyglass intraductal biopsy malignant strictures of the bile duct Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	endoscopic retrograde cholangiopancreatography cholangioscopy spyglass intraductal biopsy malignant strictures of the bile duct Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Ilia N. Yurichev Mikhail E. Timofeev Olga A. Malikhova Ruslan S. Savosin Possibilities of per-oral transpapillary cholangioscopy in oncological practice
description	Relevance. Diagnosis of malignant diseases causing bile duct strictures is a big challenge. At admission, patients with suspected biliary tract stricture, initially undergo endoscopic retrograde cholangiopancreatography (ERCP) as a diagnostic and treatment method. The morphological diagnosis of bile duct stricture based on ERCP with brush biopsy or intraductal forceps biopsy is limited by their low sensitivity. Consequently, a significant proportion of strictures remains undiagnosed, which led to the development of methods based on cholangioscopy. Aim. To determine the role of per-oral transpapillary cholangioscopy (TCS) in a specialized cancer clinic. Materials and methods. SpyGlass direct visualization system for per-oral intraductal examination from Boston Scientific was clinically tasted in Blokhin National Medical Research Center of Oncology of the Ministry of Health of Russia. Using this electronic system, TCS was performed in 4 patients with various malignant diseases. Results. In all cases, TCS was successful. In all patients, the diagnosis was confirmed with a forceps intraductal biopsy using Spybite forceps. Conclusion. Single-use electronic direct visualization system for per-oral intraductal examination and interventions like SpyGlass can be recommended for use in specialized cancer centers.
format	article
author	Ilia N. Yurichev Mikhail E. Timofeev Olga A. Malikhova Ruslan S. Savosin
author_facet	Ilia N. Yurichev Mikhail E. Timofeev Olga A. Malikhova Ruslan S. Savosin
author_sort	Ilia N. Yurichev
title	Possibilities of per-oral transpapillary cholangioscopy in oncological practice
title_short	Possibilities of per-oral transpapillary cholangioscopy in oncological practice
title_full	Possibilities of per-oral transpapillary cholangioscopy in oncological practice
title_fullStr	Possibilities of per-oral transpapillary cholangioscopy in oncological practice
title_full_unstemmed	Possibilities of per-oral transpapillary cholangioscopy in oncological practice
title_sort	possibilities of per-oral transpapillary cholangioscopy in oncological practice
publisher	IP Habib O.N.
publishDate	2020
url	https://doaj.org/article/85021f97cd0d43e39598b24e0add2b59
work_keys_str_mv	AT ilianyurichev possibilitiesofperoraltranspapillarycholangioscopyinoncologicalpractice AT mikhailetimofeev possibilitiesofperoraltranspapillarycholangioscopyinoncologicalpractice AT olgaamalikhova possibilitiesofperoraltranspapillarycholangioscopyinoncologicalpractice AT ruslanssavosin possibilitiesofperoraltranspapillarycholangioscopyinoncologicalpractice
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Possibilities of per-oral transpapillary cholangioscopy in oncological practice

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