Efficacy of ERCP catheter-guided biopsy for the diagnosis of pancreato-biliary diseases

Koichi Aiura, Shinya Kishi, Minoru Kitago, Keiichi Suzuki, Hiroaki Seki, Sojun Hoshimoto, Masahiro Adachi, Hiromasa Nakamizo, Yoshiyuki Yamagishi, Koichiro Kumai, Masaki Kitajima, Hiromasa Ishii

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Abstract

We developed the simple and safe method of the endoscopic transpapillary biopsy for pancreato-biliary diseases by using the ERCP catheter-guided technique. A fine biopsy forceps with 1 mm in diameter was inserted to the bile duct or main pancreatic duct through the ERCP catheter to approach the focal lesion and biopsy was carried out repeatedly under viewing the image of fluoroscopy. The diagnostic sensitivity for pancreato-biliary carcinoma was 64.3% (18/28). There was no significant difference of positive rate of diagnosis among the location of the lesions. To biopsy specimens from the center of the obstructive lesion as well as to take at least five specimens from a lesion may improve the accuracy of the diagnosis. This technique allows us to perform the biopsy of the lesions located in the pancreato-biliary tract safely and repeatedly and was considered useful for the histologic diagnosis of pancreato-biliary diseases.

Original languageEnglish
Pages (from-to)1878-1884
Number of pages7
JournalGASTROENTEROLOGICAL ENDOSCOPY
Volume43
Issue number9
Publication statusPublished - 2001 Sep 1

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Aiura, K., Kishi, S., Kitago, M., Suzuki, K., Seki, H., Hoshimoto, S., Adachi, M., Nakamizo, H., Yamagishi, Y., Kumai, K., Kitajima, M., & Ishii, H. (2001). Efficacy of ERCP catheter-guided biopsy for the diagnosis of pancreato-biliary diseases. GASTROENTEROLOGICAL ENDOSCOPY, 43(9), 1878-1884.