Biliary Endoscopy for Benign and Malignant Biliary Strictures

Makary, Mina S.; Farrell, Jeffrey; Khayat, Mamdouh; Srinivasa, Ravi N.

doi:10.1053/j.tvir.2019.04.005

Cited by 6 publications

(13 citation statements)

References 11 publications

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“…Emphasis on collaboration among specialists using endoscopy will reduce the startup financial burden and improve patient care. 2,4 Looking forward, the optimal patient population and indications should continue to be researched. IR groups looking to use endoscopy should make arrangements to ensure adequate resources and begin incorporating endoscopy into IR residency training.…”

Section: Discussionmentioning

confidence: 99%

“…7 Antibiotics are administered in accordance with the SIR guidelines, commonly 1 to 2 g ceftriaxone or 1.5 to 4 g ampicillin/ sulbactam. 2 When the patient is intubated, an orogastric tube should be placed to decompress the stomach and minimize the risk of aspiration from fluid infusion through the endoscope. Bair Hugger devices (3M Company, Maplewood, MD) and watertight cranial drapes should also be used to regulate body temperature.…”

Section: Techniques In Choledochoscopy (Biliary Endoscopy)mentioning

confidence: 99%

“…9 Strictures may also be dilated and stented using appropriately sized balloons and plastic or covered self-expanding metal stents. 2…”

Section: Techniques In Choledochoscopy (Biliary Endoscopy)mentioning

confidence: 99%

“…For cholecystoscopy, a transhepatic route is preferred for added stabilization and reduced bile leakage; however, fundal access through the long axis of the gallbladder should take priority in guiding placement. 2,3,8 A transperitoneal access is sometimes the best option; in these cases, the tract should be allowed to mature for at least 4 to 6 weeks. Once any infection has resolved and been treated with catheter drainage and antibiotics, then cholecystoscopy can be considered.…”

Section: Techniques In Cholecystoscopy (Gallbladder Endoscopy)mentioning

confidence: 99%

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Percutaneous Hepatobiliary Endoscopy in the Interventional Radiology Suite

Anderson

Plotnik

Srinivasa

2020

Digestive Disease Interventions

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Percutaneous transhepatic choledochoscopy and cholecystoscopy have a growing place in the interventional radiology suite. Patients with indwelling tubes who may have once been left with limited options for stone extraction, targeted biopsy, and/or chronic biliary stricture can now have comprehensive care of their disease process by an interventional radiologist. There are a variety of low-profile and large-profile devices available in the hospital that can be repurposed for use in the biliary system and gallbladder. In many situations, these tools can be used to render patients with limited transoral endoscopic options and chronic indwelling tubes, tube free. This article provides an introduction to biliary endoscopy and cholecystoscopy and their role for the interventional radiologist.

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Section: Discussionmentioning

confidence: 99%

Section: Techniques In Choledochoscopy (Biliary Endoscopy)mentioning

confidence: 99%

“…9 Strictures may also be dilated and stented using appropriately sized balloons and plastic or covered self-expanding metal stents. 2…”

Section: Techniques In Choledochoscopy (Biliary Endoscopy)mentioning

confidence: 99%

Section: Techniques In Cholecystoscopy (Gallbladder Endoscopy)mentioning

confidence: 99%

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Percutaneous Hepatobiliary Endoscopy in the Interventional Radiology Suite

Anderson

Plotnik

Srinivasa

2020

Digestive Disease Interventions

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“…25 Etiologies of malignant biliary strictures include cholangiocarcinoma, pancreatic adenocarcinoma, gallbladder carcinoma, hepatocellular carcinoma, or lymphoma, though cholangiocarcinoma and pancreatic adenocarcinoma account for more than 72% of cases. 26 Patients with these pathologies typically present with painless jaundice, pruritus, and dilated bile ducts. Magnetic resonance cholangiopancreatography (MRCP) or ERCP can be used to evaluate for malignancy if biliary duct obstruction is suspected.…”

Section: Management Of Benign and Malignant Biliary Strictures Backgroundmentioning

confidence: 99%

Percutaneous Biliary Endoscopy

Khayat

Cline

et al. 2021

Semin intervent Radiol

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Biliary endoscopy is underutilized by interventional radiologists and has the potential to become an effective adjunctive tool to help both diagnose and treat a variety of biliary pathology. This is particularly true in cases where endoscopic retrograde cholangiopancreatography fails or is not feasible due to surgically altered anatomy. Both preoperative clinical and technical procedural factors must be taken into consideration prior to intervention. In this article, clinical evaluation, perioperative management, and procedural techniques for percutaneous biliary endoscopy are reviewed.

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