Etiological Diagnosis of Linear-Array Endoscopic Ultrasonography in Distal Common Bile Duct Dilatation.

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    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8809459 Publication Model: Electronic Cited Medium: Internet ISSN: 1536-0253 (Electronic) Linking ISSN: 08948771 NLM ISO Abbreviation: Ultrasound Q Subsets: MEDLINE
    • Publication Information:
      Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: [New York, N.Y., U.S.A.] : Raven Press, [c1988-
    • Subject Terms:
    • Abstract:
      Abstract: The etiology of distal common bile duct (CBD) dilatation is complex. Linear-array endoscopic ultrasonography (EUS) can not only visualize the distal and surrounding structures of the bile duct closely but also obtain pathological specimens by fine-needle aspiration, which provides an important basis for the diagnosis and differential diagnosis. The purpose of this study was to evaluate the diagnostic value of linear-array EUS in the etiology of distal CBD dilatation. Patients with distal CBD dilatation underwent linear-array EUS in the endoscopic center of The Second Affiliated Hospital of Soochow University and Traditional Chinese Medicine Hospital of Kunshan were collected from January 2015 to June 2019. The pathology results after surgery, endoscopic pathology, computed tomography (CT), and magnetic resonance imaging (MRI) results were retrospectively analyzed. The diagnostic accuracy of linear-array EUS and CT or MRI was compared. For the diagnosis of choledocholithiasis, the diagnostic accuracy of linear-array EUS was 97.5%, which was significantly higher than that of MRI (86.36%) and CT (89.74) (P < 0.001 and 0.006, respectively). The diagnostic accuracy of linear-array EUS for periampullary tumors was 93.75%, which was higher than MRI and CT with an accuracy of 82.73% and 80.34% (P = 0.004 and 0.001, respectively). Linear EUS was effective for the etiological diagnosis of distal CBD dilatation.
      Competing Interests: The authors declare no conflict of interest.
      (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
    • References:
      Sugita R, Furuta A, Ito K, et al. Periampullary tumors: high-spatial-resolution MR imaging and histopathologic findings in ampullary region specimens. Radiology . 2004;231:767–774.
      Laing FC, Jeffrey RB Jr., Wing VW, et al. Biliary dilatation: defining the level and cause by real-time US. Radiology . 1986;160:39–42.
      Cronan JJ. US diagnosis of choledocholithiasis: a reappraisal. Radiology . 1986;161:133–134.
      Stott MA, Farrands PA, Guyer PB, et al. Ultrasound of the common bile duct in patients undergoing cholecystectomy. J Clin Ultrasound . 1991;19:73–76.
      Pongpornsup S, Pawananunt P, Teerasamit W. Diagnostic performance of multidetector computed tomography (MDCT) to differentiate malignant from benign ampullary lesions causing distal common bile duct obstruction. J Med Assoc Thai . 2016;99:940–948.
      Angthong W, Jiarakoop K, Tangtiang K. Differentiation of benign and malignant ampullary obstruction by multi-row detector CT. Jpn J Radiol . 2018;36:477–488.
      Alessandrino F, Souza D, Ivanovic AM, et al. MDCT and MRI of the ampulla of vater. Part II: non-epithelial neoplasms, benign ampullary disorders, and pitfalls. Abdom Imaging . 2015;40:3292–3312.
      Sun N, Xu Q, Liu X, et al. Comparison of preoperative evaluation of malignant low-level biliary obstruction using plain magnetic resonance and coronal liver acquisition with volume acceleration technique alone and in combination. Eur J Med Res . 2015;20:92.
      De Backer AI, Van den Abbeele K, De Schepper AM, et al. Choledochocele: diagnosis by magnetic resonance imaging. Abdom Imaging . 2000;25:508–510.
      Fernández-Esparrach G, Ginès A, Sánchez M, et al. Comparison of endoscopic ultrasonography and magnetic resonance cholangiopancreatography in the diagnosis of pancreatobiliary diseases: a prospective study. Am J Gastroenterol . 2007;102:1632–1639.
      Hekimoglu K, Ustundag Y, Dusak A, et al. MRCP vs. ERCP in the evaluation of biliary pathologies: review of current literature. J Dig Dis . 2008;9:162–169.
      El Hajj II, Coté GA. Endoscopic diagnosis and management of ampullary lesions. Gastrointest Endosc Clin N Am . 2013;23:95–109.
      Sotoudehmanesh R, Nejati N, Farsinejad M, et al. Efficacy of endoscopic ultrasonography in evaluation of undetermined etiology of common bile duct dilatation on abdominal ultrasonography. Middle East J Dig Dis . 2016;8:267–272.
      Garrow D, Miller S, Sinha D, et al. Endoscopic ultrasound: a meta-analysis of test performance in suspected biliary obstruction. Clin Gastroenterol Hepatol . 2007;5:616–623.
      Hirooka Y, Goto H, Ito A, et al. Linear and curved‐linear (convex) endoscopic ultrasonography: the present situation and roles in the future. Dig Endosc . 2010;13:S49–S53.
      Meeralam Y, Al-Shammari K, Yaghoobi M. Diagnostic accuracy of EUS compared with MRCP in detecting choledocholithiasis: a meta-analysis of diagnostic test accuracy in head-to-head studies. Gastrointest Endosc . 2017;86:986–993.
      Nakeeb A, Pitt HA, Sohn TA, et al. Cholangiocarcinoma. A spectrum of intrahepatic, perihilar, and distal tumors. Ann Surg . 1996;224:463–473; discussion 473-465.
      Tian G, Bao H, Li J, et al. Systematic review and meta-analysis of diagnostic accuracy of endoscopic ultrasound (EUS)–guided fine-needle aspiration (FNA) using 22-gauge and 25-gauge needles for pancreatic masses. Med Sci Monit . 2018;24:8333–8341.
      Meister T, Heinzow HS, Woestmeyer C, et al. Intraductal ultrasound substantiates diagnostics of bile duct strictures of uncertain etiology. World J Gastroenterol . 2013;19:874–881.
      Patel N, Benipal B. Incidence of cholangiocarcinoma in the USA from 2001 to 2015: a US Cancer Statistics Analysis of 50 states. Cureus . 2019;11:e3962.
      Rana SS, Bhasin DK, Sharma V, et al. Role of endoscopic ultrasound in evaluation of unexplained common bile duct dilatation on magnetic resonance cholangiopancreatography. Ann Gastroenterol . 2013;26:66–70.
      Li S, Ding BJ, Yang Y, et al. Preliminary application of endoscopic ultransonography before endoscopic retrograde cholangiopancreatography in suspected choledochopancreatic diseases. Chinese Journal of Gastroenterology & Hepatology . 2013;22:321–323.
      Chang KJ, Erickson RA, Chak A, et al. EUS compared with endoscopy plus transabdominal US in the initial diagnostic evaluation of patients with upper abdominal pain. Gastrointest Endosc . 2010;72:967–974.
      Sofi AA, Javid G, Zargar S, et al. Comparative evaluation of ERCP and endosonography in the diagnosis of extrahepatic biliary obstruction and a suggested algorithm. Turk J Gastroenterol . 2012;23:135–140.
      Kitano M, Yoshida T, Itonaga M, et al. Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer. J Gastroenterol . 2019;54:19–32.
      Krishna SG, Rao BB, Ugbarugba E, et al. Diagnostic performance of endoscopic ultrasound for detection of pancreatic malignancy following an indeterminate multidetector CT scan: a systemic review and meta-analysis. Surg Endosc . 2017;31:4558–4567.
      Egawa S, Toma H, Ohigashi H, et al. Japan Pancreatic Cancer Registry; 30th year anniversary: Japan Pancreas Society. Pancreas . 2012;41:985–992.
      Yamaguchi K, Okusaka T, Shimizu K, et al. Clinical practice guidelines for pancreatic cancer 2016 from the Japan pancreas society: a synopsis. Pancreas . 2017;46:595–604.
    • Publication Date:
      Date Created: 20210209 Date Completed: 20220610 Latest Revision: 20230824
    • Publication Date:
      20240829
    • Accession Number:
      10.1097/RUQ.0000000000000553
    • Accession Number:
      33560105