Improving Diagnostic Yield in Indeterminate Biliary Strictures

2022 ◽  
Vol 26 (1) ◽  
pp. 69-80
Author(s):  
David J. Restrepo ◽  
Chris Moreau ◽  
Cyrus V. Edelson ◽  
Ameesh Dev ◽  
Shreyas Saligram ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Biliary Strictures

Aspiration fluid cytology during single operator cholangioscopy with targeted biopsy to improves the diagnostic yield in indeterminate biliary strictures

2021 ◽  
Author(s):  
Khushboo Munot ◽  
Isaac Raijman ◽  
Vinshi Khan ◽  
Cassandra Gandle ◽  
Marwah Shahid ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Targeted Biopsy ◽  
Biliary Strictures ◽  
Single Operator ◽  
Fluid Cytology

Mo1316 SpyGlass® System PerOral Cholangioscopy in Indeterminate Biliary Strictures: How to Improve the Diagnostic Yield

2012 ◽  
Vol 75 (4) ◽  
pp. AB387
Author(s):  
Raffaele Manta ◽  
Emanuele Dabizzi ◽  
Helga Bertani ◽  
Mauro Manno ◽  
Vincenzo G. Mirante ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Biliary Strictures ◽  
Peroral Cholangioscopy

Diagnostic Yield of Brush Cytology for Biliary Strictures during ERCP

2013 ◽  
Vol 108 ◽  
pp. S89-S90
Author(s):  
Arif Nawaz ◽  
Abdul Kafi ◽  
Mohammed Riaz ◽  
Mohammed Irfan ◽  
Mohammed Iftikhar ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Biliary Strictures ◽  
Brush Cytology

Increased Diagnostic Yield of Brushings for Biliary Strictures Using New Cytology Brush Design

2017 ◽  
Vol 112 ◽  
pp. S462
Author(s):  
Jeffrey S. Bank ◽  
Benjamin L. Witt ◽  
Linda J. Taylor ◽  
Douglas G. Adler
Keyword(s):  
Diagnostic Yield ◽  
Biliary Strictures ◽  
Cytology Brush

Improving the diagnostic yield of single-operator cholangioscopy-guided biopsy of indeterminate biliary strictures: ROSE to the rescue? (with video)

2016 ◽  
Vol 84 (4) ◽  
pp. 681-687 ◽  
Author(s):  
Shyam Varadarajulu ◽  
Ji Young Bang ◽  
Muhammad K. Hasan ◽  
Udayakumar Navaneethan ◽  
Robert Hawes ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Biliary Strictures ◽  
Guided Biopsy ◽  
Single Operator

Mo1314 Diagnostic Yield of SpyGlass® Cholangioscopy-Guided Biopsies in Indeterminate Biliary Strictures and Primary Sclerosing Cholangitis

2012 ◽  
Vol 75 (4) ◽  
pp. AB386
Author(s):  
Sarah Leblanc ◽  
Ariane Vienne ◽  
Jean-Christophe Duchmann ◽  
Thierry Ponchon ◽  
Philippe Bichard ◽  
...  
Keyword(s):  
Primary Sclerosing Cholangitis ◽  
Sclerosing Cholangitis ◽  
Diagnostic Yield ◽  
Biliary Strictures

scholarly journals Su1540 REVISITING THE DIAGNOSTIC YIELD OF ERCP BRUSH CYTOLOGY FOR INDETERMINATE BILIARY STRICTURES

2020 ◽  
Vol 91 (6) ◽  
pp. AB371
Author(s):  
Abdulsemed M. Nur ◽  
Scott Boerner ◽  
Leanne Edwards ◽  
Kaitlin Ryan ◽  
Paul D. James
Keyword(s):  
Diagnostic Yield ◽  
Biliary Strictures ◽  
Brush Cytology

PWE-006 Enhancing the diagnostic yield of brush cytology for malignant biliary strictures: early experience with the infinity™ cytology brush: Abstract PWE-006 Table 1

Gut ◽  
2015 ◽  
Vol 64 (Suppl 1) ◽  
pp. A212.1-A212
Author(s):  
I Al Bakir ◽  
P Wolfson ◽  
R Sayers ◽  
A Maddox ◽  
M Shariff ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Early Experience ◽  
Biliary Strictures ◽  
Brush Cytology ◽  
Cytology Brush

Use of endoscopic ultrasound to reduce the need for SpyGlass cholangioscopy and improve its diagnostic yield.

2012 ◽  
Vol 30 (4_suppl) ◽  
pp. 169-169
Author(s):  
Nam Q. Nguyen
Keyword(s):  
Cost Saving ◽  
Endoscopic Ultrasound ◽  
Autoimmune Pancreatitis ◽  
Diagnostic Yield ◽  
Hepatic Duct ◽  
Correct Diagnosis ◽  
Biliary Tree ◽  
Biliary Strictures ◽  
Tissue Diagnosis ◽  
Guided Biopsy

169 Background: The accuracy of SpyGlass cholangioscopy (SGC) guided biopsy is only modest (60%) due to extrinsic lesion causing ductal stricture. Endoscopic ultrasound (EUS) can visualise the biliary tree and acquire tissue via fine needle aspiration (FNA). The aim is to evaluate the utility of EUS-FNA in patients who were referred for SGC for biliary strictures. Methods: The clinical impact of EUS-FNA was prospectively examined in 17 patients (10M; 56.2±1.9 yrs) who were referred for SGC to investigate difficult biliary strictures over 15 months. All patients had endoscopic retrograde cholangiography and biliary stenting with negative ductal brushing. Any mass lesion(s) or pathological node(s) found on EUS were biopsied. SGC and ductal biopsy were only performed if EUS-FNA could not provide a diagnosis. The results were compared to the surgical specimens or the positive histo-cytological findings from biopsies. Results: EUS examination was able to identify all ductal or peri-ductal abnormalities responsible for the biliary strictures, with sonographic diagnoses of cholangiocarcinoma (n=10), autoimmune pancreatitis (n=2), choledochocyst related stricture (1); pancreatic cancer (n=1), gallbladder cancer (n=1), Mirrizi’s syndrome (n=1) and colorectal metastasis (n=1). EUS-FNA was possible in 13 (76%) cases and provided tissue diagnosis in 9 (59%) patients, which can potentially avoid the need for SGC and cost saving of ~$ 48,000. SGC examination was successful in 7/8 patients, with 100% correct tissue diagnosis from Spybite biopsy (4 cholangio-carcinomas, 1 autoimmune pancreatitis, 1 biliary villous adenoma, 1 hepatoma, 1 high grade dysplastic choledochocyst). SpyScope intubation was not possible in a patient with long-standing primiary sclerosing cholangitis who had tight stricturing of the entire extra-hepatic duct. Overall, tissue diagnosis was established in 94% (16/17) patients. Conclusions: EUS able to detect 100% ductal or peri-ductal abnormalities responsible for biliary strictures referred for SGC. Together with FNA, EUS provides correct diagnosis and avoids the need for SGC in 59% of cases, resulting in significant cost saving but also improving the yield of SpyGlass guided biopsy.

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