Endoscopy 2021; 53(S 01): S213
DOI: 10.1055/s-0041-1724849
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Early Cholangioscopy for the Evaluation of Indeterminate Biliary Stricture

Autoren

  • B Agudo

    1   Puerta de Hierro University Hospital, Gastroenterology, Majadahonda, Spain

  • M González-Haba

    1   Puerta de Hierro University Hospital, Gastroenterology, Majadahonda, Spain

  • F Pons

    1   Puerta de Hierro University Hospital, Gastroenterology, Majadahonda, Spain

  • B Tormo

    1   Puerta de Hierro University Hospital, Gastroenterology, Majadahonda, Spain

  • MdP Reyero

    2   Puerta de Hierro University Hospital, Radiology, Majadahonda, Spain

  • JL Calleja

    1   Puerta de Hierro University Hospital, Gastroenterology, Majadahonda, Spain
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A 45-year-old man with cystic fibrosis and lung transplantation, underwent cholecystectomy 4 months ago. He was now admitted with obstructive jaundice. MRCP and abdominal CT showed a stricture of the common bile duct with proximal ductal dilatation, no etiology could be ascertained. EUS-FNA from a hiliar lymph node and ERCP-cytology from the stricture were negative for malignancy. Peroral cholangioscopy revealed a diffuse smooth narrowing of the distal bile duct resulting in a focal stricture. Visual impression suggested ischemic injury and guided biopsy was consistent with the diagnosis.

Early implementation of cholangioscopy may reduce diagnostic delays of indeterminate biliary strictures.

Citation Agudo B, González-Haba M, Pons F et al. eP358V EARLY CHOLANGIOSCOPY FOR THE EVALUATION OF INDETERMINATE BILIARY STRICTURE. Endoscopy 2021; 53: S213.



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Artikel online veröffentlicht:
19. März 2021

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