Yield of ERCP tissue sampling of malignant biliary strictures by brush, forceps, and needle aspiration methods

Jailwala, Jeegar; Sherman, S; Gottlieb, Klaus; Ikenberry, Steven O.; Gress, Frank G.; Earle, D.; Flueckiger, Joyce; Lehman, G.

doi:10.1016/s0016-5107(96)80370-1

Cited by 6 publications

(3 citation statements)

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“…Several investigators have therefore evaluated the increased sensitivity of a com bination of brush cytology and endobiliary forceps biopsy. In 251 cumulative patients, the sensitivity of this combina tion was 68%, whereas when used separately, brush cytol ogy and biopsy had a sensitivity of 41 % and 53% respec tively [2,3,22,23]. Our group has recently reported on the cumulative sensitivity of "triple tissue sampling", with brush cytology, FNA, and forceps biopsy [24].…”

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confidence: 99%

How to Improve the Accuracy of Diagnosis of Malignant Biliary Strictures

Fogel¹,

Sherman²

1999

Endoscopy

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How to Improve the Accuracy of Diagnosis of Malignant Biliary Strictures

Fogel¹,

Sherman²

1999

Endoscopy

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“…ERCP brush cytology is still probably the most commonly used ERCP sampling technique [10], as it is easy and convenient to perform, but its sensitivity for malignant bile duct strictures ranges from 30 % to 69 % ± far less than ideal, although a few studies have reported higher sensitivities, particularly for detecting cholangiocarcinoma [11 ± 21]. Several studies suggest that ERCP-FNA is no better than other cytological techniques [22,23], although there have been some encouraging reports of higher sensitivity rates for cancer detection using forceps biopsy at ERCP [13,24,25]. It is reasonably evident that using more than one sampling method will improve the diagnostic yield of ERCP tissue collection ± as shown, for example, in an elegant prospective study evaluating the use of so-called ªtriple-tissueº sampling with brush cytology, FNA, and forceps biopsy [26].…”

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Yield of Endoscopic Ultrasound-Guided Fine-Needle Aspiration of Bile Duct Lesions

Byrne¹,

Gerke²,

Mitchell³

et al. 2004

Endoscopy

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The practice of EUS-FNA has improved the diagnostic yield of EUS. These results suggest that it is a safe and useful procedure for investigating biliary masses or strictures that have hitherto caused considerable diagnostic confusion, especially in patients with negative brush cytology findings. The possibility of false-negative findings remains, but core biopsy needles may improve the situation. The results of further studies are awaited.

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“…This study suggests that dilation of the strictures prior to brushing can increase the yield for cancer. Combining results of multiple modalities (brush cytology, biopsy, and fine-needle aspiration) can increase the sensitivity for diagnosing pancreatic cancer to 78% [102]. However, more recently, 148 consecutive patients undergoing brush cytology were evaluated [103•].…”

Section: Diagnosismentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography in the diagnosis and management of pancreatic diseases

Martin

2000

Curr Gastroenterol Rep

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Endoscopic retrograde cholangiopancreatography (ERCP) has been used for diagnosis and treatment of pancreatic diseases for over 20 years. ERCP has been most intensely investigated for acute biliary pancreatitis. Randomized trials have proven that its use will decrease morbidity and have suggested a decrease in mortality for patients with severe gallstone pancreatitis. ERCP is also valuable in detecting and treating main pancreatic duct leaks with transpapillary stenting. Symptomatic pseudocysts, which may be seen in either acute or chronic pancreatitis, can be drained via the papilla or through creation of a cystogastrostomy or cystoduodenostomy with a needle-knife sphincterotome. Endoscopic treatment of patients with recurrent acute pancreatitis presumed due to pancreas divisum and sphincter of Oddi dysfunction remains controversial. Dominant pancreatic strictures or calculi in the setting of chronic pancreatitis may be treated with stenting and removal of calculi to improve abdominal pain. Finally, diagnosis of pancreatic cancer by brush cytology and palliative management of biliary obstruction with various plastic and expandable metal sents have simplified management of this difficult problem.

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Yield of ERCP tissue sampling of malignant biliary strictures by brush, forceps, and needle aspiration methods

Cited by 6 publications

References 0 publications

How to Improve the Accuracy of Diagnosis of Malignant Biliary Strictures

How to Improve the Accuracy of Diagnosis of Malignant Biliary Strictures

Yield of Endoscopic Ultrasound-Guided Fine-Needle Aspiration of Bile Duct Lesions

Endoscopic retrograde cholangiopancreatography in the diagnosis and management of pancreatic diseases

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