Endoscopic retrograde cholangiopancreatography for primary sclerosing cholangitis.

Abstract:

:Although there are no randomized, controlled trials evaluating the efficacy of endoscopic retrograde cholangiography (ERC) in primary sclerosing cholangitis (PSC) patients, substantial indirect evidence supports the effectiveness of ERC in symptomatic PSC patients with a dominant stricture. Currently, cumulative evidence supports the role of ERC with endoscopic dilation with or without additional short-term stent placement for symptomatic PSC patients with a dominant stricture. Differentiating benign dominant strictures from cholangiocarcinoma (CCA) remains difficult; however, newer endoscopic techniques and advanced cytologic techniques are likely to improve sensitivity for the diagnosis of CCA over that achieved by traditional cytology brushing alone.

journal_name

Clin Liver Dis

journal_title

Clinics in liver disease

authors

Thosani N,Banerjee S

doi

10.1016/j.cld.2014.07.013

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

899-911

issue

4

eissn

1089-3261

issn

1557-8224

pii

S1089-3261(14)00069-5

journal_volume

18

pub_type

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