Biopsia endobiliar con pinza por acceso percutáneo
primera experiencia en Uruguay
Palabras clave:
BIOPSIA, ESTENOSIS, TÉCNICA DE DIAGNÓSTICO, ENFERMEDADES DEL CONDUCTO BILIAR
Resumen
Presentamos la primera experiencia en Uruguay de una biopsia endobiliar con pinza por acceso percutáneo que realizáramos en una paciente con estenosis biliar hiliar de probable causa neoplásica. Hasta nuestro conocimiento, no existen reportes de esta técnica en Uruguay.
La difusión de la disponibilidad de esta técnica en nuestro medio es de gran importancia, ya que permite al equipo médico tratante disponer de una nueva herramienta para el manejo diagnóstico de las estenosis biliares.
Citas
(1) Patel P, Rangarajan B, Mangat K. Improved accuracy of percutaneous biopsy using “Cross and Push” technique for patients suspected with malignant biliary strictures. Cardiovasc Intervent Radiol 2015; 38(4):1005-10.
(2) Saad WE, Wallace MJ, Wojak JC, Kundu S, Cardella JF. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 2010; 21(6):789-95.
(3) Park JG, Jung GS, Yun JH, Yun BC, Lee SU, Han BH, et al. Percutaneous transluminal forceps biopsy in patients suspected of having malignant biliary obstruction: factors influencing the outcomes of 271 patients. Eur Radiol 2017; 27(10):4291-7.
(4) Elyaderani MK, Gabriele OF. Brush and forceps biopsy of biliary ducts via percutaneous transhepatic catheterization. Radiology 1980; 135(3):777-8.
(5) Mohkam K, Malik Y, Derosas C, Isaac J, Marudanayagam R, Mehrzad H, et al. Percutaneous transhepatic cholangiographic endobiliary forceps biopsy versus endoscopic ultrasound fine needle aspiration for proximal biliary strictures: a single-centre experience. HPB(Oxford) 2017; 19(6):530-7.
(6) Li Z, Li TF, Ren JZ, Li WC, Ren JL, Shui SF, et al. Value of percutaneous transhepatic cholangiobiopsy for pathologic diagnosis of obstructive jaundice: analysis of 826 cases. Acta Radiol 2017; 58(1):3-9.
(7) Ierardi AM, Mangini M, Fontana F, Floridi C, De Marchi G, Petrillo M, et al. Usefulness and safety of biliary percutaneous transluminal forceps biopsy (PTFB): our experience. Minim Invasive Ther Allied Technol 2014; 23(2):96-101.
(8) Jung GS, Huh JD, Lee SU, Han BH, Chang HK, Cho YD. Bile duct: analysis of percutaneous transluminal forceps biopsy in 130 patients suspected of having malignant biliary obstruction. Radiology 2002; 224(3):725-30.
(9) Fohlen A, Bazille C, Menahem B, Jegonday MA, Dupont B, Le Pennec V, et al. Transhepatic forceps biopsy combined with biliary drainage in obstructive jaundice: safety and accuracy. Eur Radiol 2019; 29(5):2426-35.
(10) Nimura Y. Staging of biliary carcinoma: cholangiography and cholangioscopy. Endoscopy 1993; 25(1):76-80.
(11) Hartman DJ, Slivka A, Giusto DA, Krasinskas AM. Tissue yield and diagnostic efficacy of fluoroscopic and cholangioscopic techniques to assess indeterminate biliary strictures. Clin Gastroenterol Hepatol 2012; 10(9):1042-6.
(12) Siddiqui AA, Mehendiratta V, Jackson W, Loren DE, Kowalski TE, Eloubeidi MA. Identification of cholangiocarcinoma by using the Spyglass Spyscope system for peroral cholangioscopy and biopsy collection. Clin Gastroenterol Hepatol 2012; 10(5):466-71.
(13) Savader SJ, Lynch FC, Radvany MG, Kudryk BT, Andrews RT, Geschwind JF, et al. Single-specimen bile cytology: a prospective study of 80 patients with obstructive jaundice. J Vasc Interv Radiol 1998; 9(5):817-21.
(14) Tapping CR, Byass OR, Cast JE. Cytological sampling versus forceps biopsy during percutaneous transhepatic biliary drainage and analysis of factors predicting success. Cardiovasc Intervent Radiol 2012; 35(4):883-9.
(15) Ponchon T, Gagnon P, Berger F, Labadie M, Liaras A, Chavaillon A, et al. Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: results of a prospective study. Gastrointest Endosc 1995; 42(6):565-72.
(2) Saad WE, Wallace MJ, Wojak JC, Kundu S, Cardella JF. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 2010; 21(6):789-95.
(3) Park JG, Jung GS, Yun JH, Yun BC, Lee SU, Han BH, et al. Percutaneous transluminal forceps biopsy in patients suspected of having malignant biliary obstruction: factors influencing the outcomes of 271 patients. Eur Radiol 2017; 27(10):4291-7.
(4) Elyaderani MK, Gabriele OF. Brush and forceps biopsy of biliary ducts via percutaneous transhepatic catheterization. Radiology 1980; 135(3):777-8.
(5) Mohkam K, Malik Y, Derosas C, Isaac J, Marudanayagam R, Mehrzad H, et al. Percutaneous transhepatic cholangiographic endobiliary forceps biopsy versus endoscopic ultrasound fine needle aspiration for proximal biliary strictures: a single-centre experience. HPB(Oxford) 2017; 19(6):530-7.
(6) Li Z, Li TF, Ren JZ, Li WC, Ren JL, Shui SF, et al. Value of percutaneous transhepatic cholangiobiopsy for pathologic diagnosis of obstructive jaundice: analysis of 826 cases. Acta Radiol 2017; 58(1):3-9.
(7) Ierardi AM, Mangini M, Fontana F, Floridi C, De Marchi G, Petrillo M, et al. Usefulness and safety of biliary percutaneous transluminal forceps biopsy (PTFB): our experience. Minim Invasive Ther Allied Technol 2014; 23(2):96-101.
(8) Jung GS, Huh JD, Lee SU, Han BH, Chang HK, Cho YD. Bile duct: analysis of percutaneous transluminal forceps biopsy in 130 patients suspected of having malignant biliary obstruction. Radiology 2002; 224(3):725-30.
(9) Fohlen A, Bazille C, Menahem B, Jegonday MA, Dupont B, Le Pennec V, et al. Transhepatic forceps biopsy combined with biliary drainage in obstructive jaundice: safety and accuracy. Eur Radiol 2019; 29(5):2426-35.
(10) Nimura Y. Staging of biliary carcinoma: cholangiography and cholangioscopy. Endoscopy 1993; 25(1):76-80.
(11) Hartman DJ, Slivka A, Giusto DA, Krasinskas AM. Tissue yield and diagnostic efficacy of fluoroscopic and cholangioscopic techniques to assess indeterminate biliary strictures. Clin Gastroenterol Hepatol 2012; 10(9):1042-6.
(12) Siddiqui AA, Mehendiratta V, Jackson W, Loren DE, Kowalski TE, Eloubeidi MA. Identification of cholangiocarcinoma by using the Spyglass Spyscope system for peroral cholangioscopy and biopsy collection. Clin Gastroenterol Hepatol 2012; 10(5):466-71.
(13) Savader SJ, Lynch FC, Radvany MG, Kudryk BT, Andrews RT, Geschwind JF, et al. Single-specimen bile cytology: a prospective study of 80 patients with obstructive jaundice. J Vasc Interv Radiol 1998; 9(5):817-21.
(14) Tapping CR, Byass OR, Cast JE. Cytological sampling versus forceps biopsy during percutaneous transhepatic biliary drainage and analysis of factors predicting success. Cardiovasc Intervent Radiol 2012; 35(4):883-9.
(15) Ponchon T, Gagnon P, Berger F, Labadie M, Liaras A, Chavaillon A, et al. Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: results of a prospective study. Gastrointest Endosc 1995; 42(6):565-72.
Cómo citar
1.
García J, Rodríguez A, di Trápani N, Otero M. Biopsia endobiliar con pinza por acceso percutáneo. Rev. Méd. Urug. [Internet]. 1 [citado 24 de abril de 2024];36(1):93-8. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/507
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