Confocal Laser Endomicroscopy in the Diagnosis of Biliary Ducts Diseases
https://doi.org/10.16931/1995-5464.20152111-118
Abstract
It is presented the clinical observations of various bile ducts diseases including cholangiocarcinoma developed on background of chronic diseases in pancreato-biliary area. Complexities of instrumental diagnosis at early stage of disease are reflected. Probe confocal laser endomicroscopy was first applied to clarify and verify the diagnosis in all cases. Technique of research is described; its results are compared with other diagnostic methods. The authors suggest that in diagnosis of pancreatic and biliary diseases probe confocal laser endomicroscopy may be crucial in case of inefficient or uninformative other methods
About the Authors
D. V. Sazonov
Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
Russian Federation
Russian Federation
Cand. of Med. Sci., Head of the Endoscopy Department of Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Centre of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
D. N. Panchenkov
State-Funded Educational Institution of Higher Professional Education “A.I. Evdokimov Moscow State University of Medicine and Dentistry”
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Head of the Laboratory of Minimally Invasive Surgery, A.I. Evdokimov Moscow State University of Medicine and Dentistry
Yu. V. Ivanov
Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Head of the Department of Abdominal and Endocrine Surgery, Deputy
Director of the Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of
Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
O. R. Shablovsky
Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Director of the Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
O. V. Danilevskaya
Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
Russian Federation
Russian Federation
Cand. of Med. Sci., Senior Research Officer of the Endoscopy Department, Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
D. P. Lebedev
Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
Russian Federation
Russian Federation
Surgeon of the Department of X-Ray Diagnostic and Treatment Methods, Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
A. V. Alekhnovich
State-Funded Educational Institution of Higher Professional Education “A.I. Evdokimov Moscow State University of Medicine and Dentistry”
Russian Federation
Russian Federation
Surgeon of the Department of X-Ray Diagnostic and Treatment Methods, Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
F. G. Zabozlaev
Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Head of the Department of Modern Morphological Studies, Research Institute of Clinical Surgery of Federal State Institution “Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical-Biological Agency of Russia”
References
1. Гальперин Э.И., Дюжева Т.Г. Лекции по гепатопанкреатобилиарной хирургии с CD. М.: Видар, 2011: 536 с. Galperin E.I., Dyuzheva T.G. Lekcii po gepatopankreatobiliarnoj khirurgii s CD [Lectures on gepatopancreatobiliary surgery with CD]. Moscow: Vidar, 2011: 536 p. (In Russian)
2. Сhan C.H., Telford J.J. Endoscopic management of benign biliary strictures. Gastrointest. Endosc. Clin. N. Am. 2012; 22 (3): 511–537. doi: 10.1016/j.giec.2012.05.005.
3. Nordback I.H., Pitt H.A., Coleman J. Unresectable hilar cholangiocarcinoma: percutaneous versus operative palliation. Surgery. 1994; 115 (1): 597–603.
4. Soehendra N., Reynders-Frederix V. Palliative gallengangdrainage. Dtsch. Med. Wochenschr. 1979; 104 (3): 206–209.
5. Caillol F., Filoche B., Gaidhane M., Kahaleh M. Refined probebased confocal laser endomicroscopy classification for biliary strictures: the Paris Classification. Dig. Dis. Sci. 2013; 58 (6): 1784–1789. doi: 10.1007/s10620-012-2533-5.
6. Giovannini M., Bories E., Monges G., Pesenti C., Caillol F., Delpero J.R. Results of a phase I-II study on intraductal confocal microscopy (IDCM) in patients with common bile duct (CBD) stenosis. Surg. Endosc. 2011; 25 (7): 2247–2253. doi: 10.1007/s00464-010-1542-8.
7. Neumann H., Kiesslich R., Wallace M.B., Neurath M.F. Confocal laser endomicroscopy: technical advances and clinical applications. Gastroenterology. 2010; 139 (2): 388–392. doi: 10.1053/j.gastro.2010.06.029.
8. Goujon D., Zellweger M., Radu A., Grosjean P., Weber B.C., van den Bergh H., Monnier P., Wagnieres G. In vivo autofluorescence imaging of early cancers in the human tracheobronchial tree with a spectrally optimized system. J. Biomed. Opt. 2003; 8 (1): 17–25.
9. Shahid M.W., Crook J.E., Meining A., Perchant A., Buchner A., Gomez V., Wallace M.B. Exploring the optimal fluorescein dose in probe-based confocal laser endomicroscopy for colonic imaging. J. Interv. Gastroenterol. 2011; 1 (4): 166–171.
10. Miehlke S., Morgner A., Aust D., Baretton G., Madisch A. Probe-based confocal laser endomicroscopy in double balloon enteroscopy. Z. Gastroenterol. 2011; 49 (12): 1529–1534. doi: 10.1055/s-0031-1282025.
11. Newton R.C., Kemp S.V., Yang G.Z., Elson D.S., Darzi A., Shah P.L. Imaging parenchymal lung diseases with confocal endomicroscopy. Respir. Med. 2012; 106 (1): 127–137. doi: 10.1016/j.rmed.2011.09.009.
12. Wu K., Liu J.J., Adams W., Sonn G.A., Mach K.E., Pan Y., Beck A.H., Jensen K.C., Liao J.C. Dynamic real-time microscopy of the urinary tract using confocal laser endo microscopy. Urology. 2011; 78 (1): 225–231. doi: 10.1016/j.urology.2011.02.057.
13. Van den Broek F.J., van Es J.A., van Eeden S., Stokkers P.C., Ponsioen C.Y., Reitsma J.B., Fockens P., Dekker E. Pilot study of probe-based confocal laser endomicroscopy during colonoscopic surveillance of patients with longstanding ulcerative colitis. Endoscopy. 2011; 43 (2): 116–122. doi: 10.1055/s-0030-1255954.
14. Becker V., van den Broek F.J., Buchner A.M., Dekker E., Wallace M.B., von Delius S., Schneider A., Schmid R.M., Meining A. Optimal fluorescein dose for intravenous application in miniprobe-based confocal laser scanning microscopy in pigs. J. Biophotonics. 2011; 4 (1–2): 108–113. doi: 10.1002/jbio.201000028.
15. Wallace M., Lauwers G.Y., Chen Y., Dekker E., Fockens P., Sharma P., Meining A. Miami classification for probe-based confocal laser endomicroscopy. Endoscopy. 2011; 43 (10): 882–891. doi: 10.1055/s-0030-1256632.
16. Meining A., Shah R.J., Slivka A., Pleskow D., Chuttani R., Stevens P.D., Becker V., Chen Y.K. Classification of probe-based confocal laser endomicroscopy findings in pancreaticobiliary strictures. Endoscopy. 2012; 44 (3): 251–257. doi: 10.1055/s-0031-1291545.
17. Meining A., Chen Y.K., Pleskow D., Stevens P., Shah R.J., Chuttani R., Michalek J., Slivka A. Direct visualization of indeterminate pancreaticobiliary strictures with probe-based confocal laser endomicroscopy: a multicenter experience. Gastrointest. Endosc. 2011; 74 (5): 961–968. doi: 10.1016/j.gie.2011.05.009.
18. Davids P.H., Goren A.K., Rauws E.A. Randomized trial of selfexpanding metal stents versus polyethylene stents for malignant bile duct obstruction. Lancet. 1992; 340 (2): 1488–1492.
Review
For citations:
Sazonov D.V., Panchenkov D.N., Ivanov Yu.V., Shablovsky O.R., Danilevskaya O.V., Lebedev D.P., Alekhnovich A.V., Zabozlaev F.G. Confocal Laser Endomicroscopy in the Diagnosis of Biliary Ducts Diseases. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(2):111-118. (In Russ.) https://doi.org/10.16931/1995-5464.20152111-118
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