超声内镜在胆管癌诊治中的应用进展
DOI: 10.12449/JCH241132
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:宋红召负责拟定写作思路,查找文献,分析资料,撰写文章;李彤彤、李喆楠参与收集资料,修改论文;王军民负责选题,指导撰写文章,提供修改意见并最终定稿。
Advances in the application of endoscopic ultrasonography in the diagnosis and treatment of cholangiocarcinoma
-
摘要: 超声内镜既可以通过内镜直接观察消化道腔内的形态,又可以进行实时的超声动态扫描,获得管腔的层次以及周围脏器的组织结构状态。随着超声内镜的广泛应用以及技术上的不断完善,人们逐渐认识到了其在胆管癌诊治中的重要作用,本文就超声内镜在胆管癌诊治中的应用作一系统性的综述。Abstract: Endoscopic ultrasonography (EUS) can not only directly observe the morphology of the lumens of the digestive tract through the endoscope, but also perform real-time dynamic ultrasound scanning to obtain the layers of the lumen and the structure of surrounding organs. With the wide application and technical improvement of EUS, we gradually realize that it plays an important role in the diagnosis and treatment of cholangiocarcinoma. This article reviews the application of EUS in the diagnosis and treatment of cholangiocarcinoma.
-
Key words:
- Bile Duct Neoplasms /
- Endoscopic Ultrasound /
- Diagnosis /
- Therapeutics
-
[1] BANALES JM, MARIN JJG, LAMARCA A, et al. Cholangiocarcinoma 2020: The next horizon in mechanisms and management[J]. Nat Rev Gastroenterol Hepatol, 2020, 17( 9): 557- 588. DOI: 10.1038/s41575-020-0310-z. [2] FORNER A, VIDILI G, RENGO M, et al. Clinical presentation, diagnosis and staging of cholangiocarcinoma[J]. Liver Int, 2019, 39( Suppl 1): 98- 107. DOI: 10.1111/liv.14086. [3] YOON SB, MOON SH, KO SW, et al. Brush cytology, forceps biopsy, or endoscopic ultrasound-guided sampling for diagnosis of bile duct cancer: A meta-analysis[J]. Dig Dis Sci, 2022, 67( 7): 3284- 3297. DOI: 10.1007/s10620-021-07138-4. [4] NAVANEETHAN U, NJEI B, LOURDUSAMY V, et al. Comparative effectiveness of biliary brush cytology and intraductal biopsy for detection of malignant biliary strictures: A systematic review and meta-analysis[J]. Gastrointest Endosc, 2015, 81( 1): 168- 176. DOI: 10.1016/j.gie.2014.09.017. [5] MALIKOWSKI T, LEVY MJ, GLEESON FC, et al. Endoscopic ultrasound/fine needle aspiration is effective for lymph node staging in patients with cholangiocarcinoma[J]. Hepatology, 2020, 72( 3): 940- 948. DOI: 10.1002/hep.31077. [6] CORONEL M, LEE JH, CORONEL E. Endoscopic ultrasound for the diagnosis and staging of biliary malignancy[J]. Clin Liver Dis, 2022, 26( 1): 115- 125. DOI: 10.1016/j.cld.2021.08.010. [7] SADEGHI A, MOHAMADNEJAD M, ISLAMI F, et al. Diagnostic yield of EUS-guided FNA for malignant biliary stricture: A systematic review and meta-analysis[J]. Gastrointest Endosc, 2016, 83( 2): 290- 298. e 1. DOI: 10.1016/j.gie.2015.09.024. [8] OHSHIMA Y, YASUDA I, KAWAKAMI H, et al. EUS-FNA for suspected malignant biliary strictures after negative endoscopic transpapillary brush cytology and forceps biopsy[J]. J Gastroenterol, 2011, 46( 7): 921- 928. DOI: 10.1007/s00535-011-0404-z. [9] de MOURA DTH, MOURA EGH, BERNARDO WM, et al. Endoscopic retrograde cholangiopancreatography versus endoscopic ultrasound for tissue diagnosis of malignant biliary stricture: Systematic review and meta-analysis[J]. Endosc Ultrasound, 2018, 7( 1): 10- 19. DOI: 10.4103/2303-9027.193597. [10] ZHOU S, BUXBAUM J. Advanced imaging of the biliary system and pancreas[J]. Dig Dis Sci, 2022, 67( 5): 1599- 1612. DOI: 10.1007/s10620-022-07389-9. [11] CHEN L, LU Y, WU JC, et al. Diagnostic utility of endoscopic retrograde cholangiography/intraductal ultrasound(ERC/IDUS) in distinguishing malignant from benign bile duct obstruction[J]. Dig Dis Sci, 2016, 61( 2): 610- 617. DOI: 10.1007/s10620-015-3896-1. [12] HUYNH R, OWERS C, PINTO C, et al. Endoscopic evaluation of biliary strictures: Current and emerging techniques[J]. Clin Endosc, 2021, 54( 6): 825- 832. DOI: 10.5946/ce.2021.048. [13] YAO LW, ZHANG J, LIU J, et al. A deep learning-based system for bile duct annotation and station recognition in linear endoscopic ultrasound[J]. EBioMedicine, 2021, 65: 103238. DOI: 10.1016/j.ebiom.2021.103238. [14] NJEI B, MCCARTY TR, MOHAN BP, et al. Artificial intelligence in endoscopic imaging for detection of malignant biliary strictures and cholangiocarcinoma: A systematic review[J]. Ann Gastroenterol, 2023, 36( 2): 223- 230. DOI: 10.20524/aog.2023.0779. [15] LO EC, RUCKER A N, FEDERLE MP. Hepatocellular carcinoma and intrahepatic cholangiocarcinoma: Imaging for diagnosis, tumor response to treatment and liver response to radiation[J]. Semin Radiat Oncol, 2018, 28( 4): 267- 276. DOI: 10.1016/j.semradonc.2018.06.010. [16] HU SS, LUO YM, XU L, et al. Endoscopic ultrasound diagnosis of a case of lumpy intrahepatic cholangiocarcinoma[J]. Chin J Clin Gastroenterol, 2022, 34( 3): 214- 216. DOI: 10.3870/lcxh.j.issn.1005-541X.2022.03.15.胡珊珊, 罗玉明, 徐俐, 等. 超声内镜诊断肿块型肝内胆管细胞癌1例[J]. 临床消化病杂志, 2022, 34( 3): 214- 216. DOI: 10.3870/lcxh.j.issn.1005-541X.2022.03.15. [17] TAKANO Y, YAMAWAKI M, NODA J, et al. Endoscopic ultrasound-guided tissue acquisition for focal liver lesions in the caudate lobe: A report of seven cases[J]. Clin J Gastroenterol, 2024, 17( 2): 334- 337. DOI: 10.1007/s12328-023-01906-7. [18] XING L, WANG TT, SUN B, et al. The role of endoscopic ultrasonography in diagnosis and preoperative evaluation of hilar cholangiocarcinoma[J]. Chin J Dig Endosc, 2021, 38( 8): 624- 627. DOI: 10.3760/cma.j.cn321463-20200403-00282.邢铃, 王田田, 孙波, 等. 内镜超声检查在肝门部胆管癌诊断和术前评价中的作用[J]. 中华消化内镜杂志, 2021, 38( 8): 624- 627. DOI: 10.3760/cma.j.cn321463-20200403-00282. [19] WANG HG, LUO M. Research advance in preoperative evaluation and intraoperative navigation for hilar cholangio-carcinoma[J]. Chin J Dig Surg, 2024, 23( 7): 906- 911. DOI: 10.3760/cma.j.cn115610-20240612-00291.王宏光, 罗漫. 肝门部胆管癌的术前评估和术中导航研究进展[J]. 中华消化外科杂志, 2024, 23( 7): 906- 911. DOI: 10.3760/cma.j.cn115610-20240612-00291. [20] TÉLLEZ-ÁVILA FI, BERNAL-MÉNDEZ AR, GUERRERO-VÁZQUEZ CG, et al. Diagnostic yield of EUS-guided tissue acquisition as a first-line approach in patients with suspected hilar cholangiocarcinoma[J]. Am J Gastroenterol, 2014, 109( 8): 1294- 1296. DOI: 10.1038/ajg.2014.169. [21] HEIMBACH JK, SANCHEZ W, ROSEN CB, et al. Trans-peritoneal fine needle aspiration biopsy of hilar cholangiocarcinoma is associated with disease dissemination[J]. HPB, 2011, 13( 5): 356- 360. DOI: 10.1111/j.1477-2574.2011.00298.x. [22] GLEESON FC, RAJAN E, LEVY MJ, et al. EUS-guided FNA of regional lymph nodes in patients with unresectable hilar cholangiocarcinoma[J]. Gastrointest Endosc, 2008, 67( 3): 438- 443. DOI: 10.1016/j.gie.2007.07.018. [23] MALIKOWSKI T, LEVY MJ, GLEESON FC, et al. Endoscopic ultrasound/fine needle aspiration is effective for lymph node staging in patients with cholangiocarcinoma[J]. Hepatology, 2020, 72( 3): 940- 948. DOI: 10.1002/hep.31077. [24] MOHAMADNEJAD M, DEWITT JM, SHERMAN S, et al. Role of EUS for preoperative evaluation of cholangiocarcinoma: A large single-center experience[J]. Gastrointest Endosc, 2011, 73( 1): 71- 78. DOI: 10.1016/j.gie.2010.08.050. [25] SOBHRAKHSHANKHAH E, SOHRABI M, NOROUZI HR, et al. Tissue sampling through endoscopic ultrasound-guided fine needle aspiration versus endoscopic retrograde cholangiopancreatographic brushing cytology technique in suspicious malignant biliary stricture[J]. Middle East J Dig Dis, 2021, 13( 4): 294- 301. DOI: 10.34172/mejdd.2021.238. [26] RAINE T, THOMAS JP, BRAIS R, et al. Test performance and predictors of accuracy of endoscopic ultrasound-guided fine-needle aspiration for diagnosing biliary strictures or masses[J]. Endosc Int Open, 2020, 8( 11): E1537- E1544. DOI: 10.1055/a-1231-4948. [27] TYBERG A, SARKAR A, SHAHID HM, et al. EUS-guided biliary drainage versus ERCP in malignant biliary obstruction before hepatobiliary surgery: An international multicenter comparative study[J]. J Clin Gastroenterol, 2023, 57( 9): 962- 966. DOI: 10.1097/MCG.0000000000001795. [28] SAWAS T, BAILEY NJ, YEUNG KYKA, et al. Comparison of EUS-guided choledochoduodenostomy and percutaneous drainage for distal biliary obstruction: A multicenter cohort study[J]. Endosc Ultrasound, 2022, 11( 3): 223- 230. DOI: 10.4103/EUS-D-21-00031. [29] BANG JY, HAWES R, VARADARAJULU S. Endoscopic biliary drainage for malignant distal biliary obstruction: Which is better-endoscopic retrograde cholangiopancreatography or endoscopic ultrasound?[J]. Dig Endosc, 2022, 34( 2): 317- 324. DOI: 10.1111/den.14186. [30] RUSHBROOK SM, KENDALL TJ, ZEN Y, et al. British Society of Gastroenterology guidelines for the diagnosis and management of cholangiocarcinoma[J]. Gut, 2023, 73( 1): 16- 46. DOI: 10.1136/gutjnl-2023-330029. [31] van der MERWE SW, van WANROOIJ RLJ, BRONSWIJK M, et al. Therapeutic endoscopic ultrasound: European society of gastrointestinal endoscopy(ESGE) guideline[J]. Endoscopy, 2022, 54( 2): 185- 205. DOI: 10.1055/a-1717-1391. [32] PAIK WH, LEE TH, PARK DH, et al. EUS-guided biliary drainage versus ERCP for the primary palliation of malignant biliary obstruction: A multicenter randomized clinical trial[J]. Am J Gastroenterol, 2018, 113( 7): 987- 997. DOI: 10.1038/s41395-018-0122-8. [33] LEE TH, CHOI JH, PARK DOH, et al. Similar efficacies of endoscopic ultrasound-guided transmural and percutaneous drainage for malignant distal biliary obstruction[J]. Clin Gastroenterol Hepatol, 2016, 14( 7): 1011- 1019. e 3. DOI: 10.1016/j.cgh.2015.12.032. [34] SEKINE M, HASHIMOTO Y, SHIBUKI T, et al. A retrospective multicenter study comparing the punctures to B2 and B3 in endoscopic ultrasound-guided hepaticogastrostomy[J]. DEN Open, 2023, 3( 1): e201. DOI: 10.1002/deo2.201. [35] OKUNO N, HARA K, HABA S, et al. Novel drill dilator facilitates endoscopic ultrasound-guided hepaticogastrostomy[J]. Dig Endosc, 2023, 35( 3): 389- 393. DOI: 10.1111/den.14447. [36] CHO JH, PARK SW, KIM EJ, et al. Long-term outcomes and predictors of adverse events of EUS-guided hepatico-gastrostomy for malignant biliary obstruction: Multicenter, retrospective study[J]. Surg Endosc, 2022, 36( 12): 8950- 8958. DOI: 10.1007/s00464-022-09346-z. [37] PARK DH. Endoscopic ultrasound-guided biliary drainage of hilar biliary obstruction[J]. J Hepatobiliary Pancreat Sci, 2015, 22( 9): 664- 668. DOI: 10.1002/jhbp.271. [38] HEDJOUDJE A, SPORTES A, GRABAR S, et al. Outcomes of endoscopic ultrasound-guided biliary drainage: A systematic review and meta-analysis[J]. United European Gastroenterol J, 2019, 7( 1): 60- 68. DOI: 10.1177/2050640618808147. [39] CHEN YI, SAHAI A, DONATELLI G, et al. Endoscopic ultrasound-guided biliary drainage of first intent with a lumen-apposing metal stent vs endoscopic retrograde cholangiopancreatography in malignant distal biliary obstruction: A multicenter randomized controlled study(ELEMENT trial)[J]. Gastroenterology, 2023, 165( 5): 1249- 1261. e 5. DOI: 10.1053/j.gastro.2023.07.024. [40] GEYL S, REDELSPERGER B, YZET C, et al. Risk factors for stent dysfunction during long-term follow-up after EUS-guided biliary drainage using lumen-apposing metal stents: A prospective study[J]. Endosc Ultrasound, 2023, 12( 2): 237- 244. DOI: 10.4103/EUS-D-22-00120. [41] FUGAZZA A, ANDREOZZI M, MARCO AD, et al. Endoscopy ultrasound-guided biliary drainage using lumen apposing metal stent in malignant biliary obstruction[J]. Diagnostics, 2023, 13( 17): 2788. DOI: 10.3390/diagnostics13172788. [42] KAMAL F. EUS-guided gallbladder drainage for malignant biliary obstruction: A new paradigm but not so new[J]. Gastrointest Endosc, 2023, 98( 5): 774- 775. DOI: 10.1016/j.gie.2023.07.040. [43] FRITZSCHE JA, FOCKENS P, BESSELINK MG, et al. Endoscopic ultrasound-guided choledochoduodenostomy using single-step lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction(SCORPION-p): A prospective pilot study[J]. Endoscopy, 2024, 56( 1): 47- 52. DOI: 10.1055/a-2134-3537. [44] RUGIVARODOM M, ASWAKUL P, TECHATHUVANAN K, et al. Efficacy and safety of EUS-guided hepaticoesophagostomy(EUS-HES) for malignant biliary obstruction: the first case series[J]. Surg Endosc, 2022, 36( 2): 1117- 1122. DOI: 10.1007/s00464-021-08378-1. [45] CHO SH, SONG TJ, OH D, et al. Endoscopic ultrasound-guided hepaticoduodenostomy versus percutaneous drainage for right intrahepatic duct dilatation in malignant hilar obstruction[J]. J Gastroenterol Hepatol, 2024, 39( 3): 552- 559. DOI: 10.1111/jgh.16442. [46] SUNDARAM S, MANE K, PATIL P, et al. Endoscopic ultrasound-guided antegrade stent placement in patients with failed ERCP as a modality of preoperative and palliative biliary drainage[J]. Dig Dis Sci, 2023, 68( 4): 1551- 1558. DOI: 10.1007/s10620-022-07655-w. [47] ZHAO X, SHI LH, WANG JC, et al. Clinical value of preferred endoscopic ultrasound-guided antegrade surgery in the treatment of extrahepatic bile duct malignant obstruction[J]. Clinics, 2022, 77: 100017. DOI: 10.1016/j.clinsp.2022.100017. [48] IWASHITA T, UEMURA S, MITA N, et al. Endoscopic ultrasound guided-antegrade biliary stenting vs percutaneous transhepatic biliary stenting for unresectable distal malignant biliary obstruction in patients with surgically altered anatomy[J]. J Hepatobiliary Pancreat Sci, 2020, 27( 12): 968- 976. DOI: 10.1002/jhbp.823. [49] KHASHAB MA, VALESHABAD AK, MODAYIL R, et al. EUS-guided biliary drainage by using a standardized approach for malignant biliary obstruction: Rendezvous versus direct transluminal techniques(with videos)[J]. Gastrointest Endosc, 2013, 78( 5): 734- 741. DOI: 10.1016/j.gie.2013.05.013. [50] TESTONI PA, MARIANI A, AABAKKEN L, et al. Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy(ESGE) clinical guideline[J]. Endoscopy, 2016, 48( 7): 657- 683. DOI: 10.1055/s-0042-108641. [51] YOON SB, YANG MJ, SHIN DW, et al. Endoscopic ultrasound-rendezvous versus percutaneous-endoscopic rendezvous endoscopic retrograde cholangiopancreatography for bile duct access: Systematic review and meta-analysis[J]. Dig Endosc, 2024, 36( 2): 129- 140. DOI: 10.1111/den.14636. [52] BINDA C, ANDERLONI A, FUGAZZA A, et al. EUS-guided gallbladder drainage using a lumen-apposing metal stent as rescue treatment for malignant distal biliary obstruction: A large multicenter experience[J]. Gastrointest Endosc, 2023, 98( 5): 765- 773. DOI: 10.1016/j.gie.2023.06.054. [53] MANGIAVILLANO B, MOON JH, FACCIORUSSO A, et al. EUS-guided biliary drainage with a novel electrocautery-enhanced lumen apposing metal stent as first approach for distal malignant biliary obstruction: A prospective study[J]. Endosc Int Open, 2022, 10( 7): E998- E1003. DOI: 10.1055/a-1838-2683. [54] MANGIAVILLANO B, LARGHI A, VARGAS-MADRIGAL J, et al. EUS-guided gastroenterostomy using a novel electrocautery lumen apposing metal stent for treatment of gastric outlet obstruction(with video)[J]. Dig Liver Dis, 2023, 55( 5): 644- 648. DOI: 10.1016/j.dld.2023.02.009. [55] ROBLES-MEDRANDA C, OLEAS R, PUGA-TEJADA M, et al. Prophylactic EUS-guided gallbladder drainage prevents acute cholecystitis in patients with malignant biliary obstruction and cystic duct orifice involvement: A randomized trial(with video)[J]. Gastrointest Endosc, 2023, 97( 3): 445- 453. DOI: 10.1016/j.gie.2022.10.037. [56] FUGAZZA A, COLOMBO M, REPICI A, et al. Endoscopic ultrasound-guided gallbladder drainage: Current perspectives[J]. Clin Exp Gastroenterol, 2020, 13: 193- 201. DOI: 10.2147/CEG.S203626. [57] van WANROOIJ RLJ, BRONSWIJK M, KUNDA R, et al. Therapeutic endoscopic ultrasound: European society of gastrointestinal endoscopy(ESGE) technical review[J]. Endoscopy, 2022, 54( 3): 310- 332. DOI: 10.1055/a-1738-6780.
本文二维码
计量
- 文章访问数: 104
- HTML全文浏览量: 44
- PDF下载量: 16
- 被引次数: 0