Diagnostic and therapeutic cholangioscopy performed by various accesses to the bile ducts
https://doi.org/10.16931/1995-5464.2024-1-49-53
Abstract
Aim. To summarize data, define indications and estimate outcomes of cholangioscopy performed by various accesses to the bile ducts.
Materials and methods. In the period of 2017–2024, 68 cholangioscopies were performed in 24 (35.3 %) men and 44 (64.7 %) women. The age of patients ranged from 18 to 85 years (mean age comprises 61 years). 10 (14.7 %) cholangioscopies were performed by retrograde access, 42 (61.8 %) by antegrade access, and 16 (23.5 %) were performed intraoperatively.
Results. The total amount of interventions include 21 (30.9 %) lithoextractions, 16 (23.5 %) targeted biopsies, 12 (17.6 %) recanalizations of anastomosis strictures, and 1 (1.79 %) case involved a retrieval of the “lost” bile duct stent. In 7 (10.3 %) cases cholangioscopy failed due to a small diameter of the bile ducts.
Conclusion. Contemporary minimally invasive endoscopic methods considerably enlarge the possibilities for treatment of complex lesions of the bile ducts. Antegrade cholangioscopy contributes to a wider application of modern technologies for direct examination of the bile ducts and to expansion of the range of therapeutic manipulations. The introduction of antegrade cholangioscopy avoids extensive traumatic reconstructive interventions with their potential risk of complications.
About the Authors
I. Yu. Nedoluzhko
Moscow Clinical Scientific Center named after A.S. Loginov
Russian Federation
Russian Federation
Ivan Yu. Nedoluzhko, Cand. of Sci. (Med.), Head of the Department
Department of Operative Endoscopy
111123; 86, Sh. Entuziastov; Moscow
Y. V. Kulezneva
Moscow Clinical Scientific Center named after A.S. Loginov
Russian Federation
Russian Federation
Yuliya V. Kulezneva, Doct. of Sci. (Med.), Professor, Head of the Department
Department of Radiological Methods of Diagnosis and Treatment
111123; 86, Sh. Entuziastov; Moscow
E. A. Grishina
Moscow Clinical Scientific Center named after A.S. Loginov
Russian Federation
Russian Federation
Elena A. Grishina, Cand. of Sci. (Med.), Endoscopist
Department of Operative Endoscopy
111123; 86, Sh. Entuziastov; Moscow
K. V. Shishin
Moscow Clinical Scientific Center named after A.S. Loginov
Russian Federation
Russian Federation
Kirill V. Shishin, Doct. of Sci. (Med.), Professor, Head of Unit
Operative Endoscopy Unit
111123; 86, Sh. Entuziastov; Moscow
References
1. Ahmed S., Schlachter T.R., Hong K. Percutaneous transhepatic cholangioscopy. Tech. Vasc. Interv. Radiol. 2015; 18 (4): 201–209. doi: 10.1053/j.tvir.2015.07.003
2. Rimon U., Kleinmann N., Bensaid P., Floridi C., Cocozza E., Segato S., Abou El. Abbas H., Mangano A., Carrafiello G., Dionigi R. Percutaneous transhepatic endoscopic holmium laser lithotripsy for intrahepatic and choledochal biliary stones. Int. J. Surg. 2013; 11 Suppl 1: 36–39. doi: 10.1016/S1743-9191(13)60011-4
3. Haber Z.M., Srinivasa R.N., Lee E.W. Percutaneous transhepatic cholangioscopy interventions – updates. J. Clin. Gastroenterol. 2023; 57 (9): 879–885. doi: 10.1097/MCG.0000000000001891
4. Singh A., Gelrud A., Agarwal B. Biliary strictures: diagnostic considerations and approach. Gastroenterol. Rep. (Oxf.). 2015; 3 (1): 22–31. doi: 10.1093/gastro/gou072
5. Becq A., Soualy A., Camus M. Cholangioscopy for biliary diseases. Curr. Opin. Gastroenterol. 2023; 39 (2): 67–74. doi: 10.1097/MOG.0000000000000907
6. Kim H.J., Kim M.H., Lee S.K., Yoo K.S., Seo D.W., Min Y.I. Tumor vessel: a valuable cholangioscopic clue of malignant biliary stricture. Gastrointest. Endosc. 2000; 52 (5): 635–638. doi: 10.1067/mge.2000.108969
7. Gerges C., Vázquez A.G., Tringali A., Verde J.M., Dertmann T., Houghton E., Cina A., Beyna T., Begnis F.S., Pizzicannella M., Palermo M., Perretta S., Costamagna G., Marescaux J., Neuhaus H., Boškoski I., Giménez M.E. Percutaneous transhepatic cholangioscopy using a single-operator cholangioscope (pSOC), a retrospective, observational, multicenter study. Surg. Endosc. 2021; 35 (12): 6724–6730. doi: 10.1007/s00464-020-08176-1
8. Choi J.H., Lee S.K. Percutaneous transhepatic cholangioscopy: does its role still exist? Clin. Endosc. 2013; 46 (5): 529–536. doi: 10.5946/ce.2013.46.5.529
9. Inchingolo R., Acquafredda F., Posa A., Nunes T.F., Spiliopoulos S., Panzera F., Praticò C.A. Endobiliary biopsy. World J. Gastrointest. Endosc. 2022; 14 (5): 291–301. doi: 10.4253/wjge.v14.i5.291
10. Elsayed M., Nezami N., Kokabi N., Scriver G.M., Behairy M.M., Majdalany B.S. Percutaneous transhepatic cholangioscopy-guided lithotripsy and retrieval of vascular coils eroded into the biliary tree. Radiol. Case Rep. 2022; 18 (2): 444–448. doi: 10.1016/j.radcr.2022.10.103
11. Lin C.C., Lin P.Y., Ko C.J., Chen Y.L., Chen S.T., Kuo S.J. Hepatic resection for bilateral hepatolithiasis: a 20-year experience. ANZ J. Surg. 2013; 83 (12): 978–984. doi: 10.1111/j.1445-2197.2012.06283.x
12. Madeira-Cardoso M.J., Almeida N., Correia C., Duque M., Gil Agostinho A., Alexandrino H. Percutaneous transhepatic cholangioscopy and lithotripsy of intrahepatic stones. GE Port J. Gastroenterol. 2021; 28 (4): 297–300. doi: 10.1159/000511529
13. Kinoshita H., Sajima S., Hashino K., Hashimoto M., Sato S., Kawabata M., Tamae T., Hara M., Imayama H., Aoyagi S. A case of intrahepatic gallstone formation around nylon suture for hepatectomy. Kurume Med. J. 2000; 47 (3): 235–237. doi: 10.2739/kurumemedj.47.235
Review
For citations:
Nedoluzhko I.Yu., Kulezneva Y.V., Grishina E.A., Shishin K.V. Diagnostic and therapeutic cholangioscopy performed by various accesses to the bile ducts. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(1):49-53. (In Russ.) https://doi.org/10.16931/1995-5464.2024-1-49-53
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