Endobiliary biopsy

作     者：Riccardo Inchingolo Fabrizio Acquafredda Alessandro Posa Thiago Franchi Nunes Stavros Spiliopoulos Francesco Panzera Carlos Alberto Praticò 

作者机构：Interventional Radiology Unit"F.Miulli"General Regional HospitalAcquaviva delle Fonti 70021Italy Department of RadiologyPoliclinico Universitario“A.Gemelli”Rome 00186Italy Interventional Radiology UnitUniversidade Federal de Mato Grosso do SulCampo Grande 79070-900Brazil 2^(nd)Department of RadiologyInterventional Radiology UnitNational and Kapodistrian University of AthensAthens 12461Greece Interventional Gastroenterology UnitMadonna Delle Grazie HospitalMatera 75100Italy Unitéd’Endoscopie DigestiveHôpital Privé“Armand Brillard”3/5 avenue WatteauNogent-sur-Marne 94130France 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第5期

页      面：291-301页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Biliary strictures Endoscopic retrograde cholangiography Cholangioscopy Endobiliary forceps biopsy Intraductal ultrasound-guided biopsy Percutaneous transhepatic 

摘      要：The differential diagnosis between benign and malignant biliary strictures is challenging and requires a multidisciplinary approach with the use of serum biomarkers,imaging techniques,and several modalities of endoscopic or percutaneous tissue *** diagnosis of biliary strictures consists of laboratory markers,and invasive and non-invasive imaging examinations such as computed tomography(CT),contrast-enhanced magnetic resonance cholangiopancreatography,and endoscopic ultrasonography(EUS).Nevertheless,invasive imaging modalities combined with tissue sampling are usually required to confirm the diagnosis of suspected malignant biliary strictures,while pathological diagnosis is mandatory to decide the optimal therapeutic *** EUS-guided fine-needle aspiration biopsy is currently the standard procedure for tissue sampling of solid pancreatic mass lesions,its diagnostic value in intraductal infiltrating type of cholangiocarcinoma remains ***,the“endobiliary approachusing novel slim biopsy forceps,transpapillary and percutaneous cholangioscopy,and intraductal ultrasound-guided biopsy,is gaining ground on traditional endoscopic retrograde cholangiopancreatography and percutaneous transhepatic cholangiography endobiliary forceps *** review focuses on the available endobiliary techniques currently used to perform biliary strictures biopsy,comparing the diagnostic performance of endoscopic and percutaneous approaches.