Digital cholangioscopy: the diagnostic yield and impact on management of patients with indeterminate biliary stricture
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F18%3AN0000031" target="_blank" >RIV/00098892:_____/18:N0000031 - isvavai.cz</a>
Alternative codes found
RIV/61989592:15110/18:73587895
Result on the web
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DOI - Digital Object Identifier
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Alternative languages
Result language
angličtina
Original language name
Digital cholangioscopy: the diagnostic yield and impact on management of patients with indeterminate biliary stricture
Original language description
Objectives: Biliary strictures frequently present a diagnostic challenge. The aim of this study was to evaluate the impact of digital single-operator cholangioscopy (DSOC) on subsequent treatment of patients with biliary stricture. Methods: Consecutive patients undergoing DSOC for biliary stricture were enrolled. Gold standard for final diagnosis included histology from surgical resection. In patients without surgery, clinical evaluation methods and repeated imaging studies were used for comparison of DSOC findings and final diagnosis. Patients were followed-up prospectively focusing on subsequent treatment. Results: Among 30 enrolled patients, final diagnosis was malignant in 13 (43 %) and benign in 17 (57 %). The sensitivity and specificity of visual impression in diagnosing malignant stricture were 100% (95% CI: 75 − 100) and 76% (95% CI: 50 − 93), respectively. The sensitivity and specificity for biopsy were 92% (95 % CI: 62 − 100) and 100 % (95 % CI: 78 − 100), respectively. One (3 %) case of complicating cholangitis with fatal outcome occurred. Final treatment included surgery in 7 (23 %), endoscopy in 18 (60 %) and chemotherapy in 3 (10 %) of patients. Conclusions: In this study, favorable operating characteristics of DSOC were confirmed. Absolute negative predictive value of visual impression provided reassurance to patients with benign strictures who avoided unnecessary surgery in 53 %. One (3 %) case of cholangitis with fatal outcome occurred
Czech name
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Czech description
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Classification
Type
J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database
CEP classification
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OECD FORD branch
30219 - Gastroenterology and hepatology
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Scandinavian Journal of Gastroenterology
ISSN
0036-5521
e-ISSN
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Volume of the periodical
53
Issue of the periodical within the volume
10-11
Country of publishing house
NO - NORWAY
Number of pages
4
Pages from-to
1364-1367
UT code for WoS article
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EID of the result in the Scopus database
2-s2.0-85055480777