Intraductal ultrasonographic anatomy of biliary varices in patients with portal hypertension

Endoscopic Ultrasound
Tadayuki TakagiHiromasa Ohira

Abstract

The term, portal biliopathy, denotes various biliary abnormalities, such as stenosis and/or dilatation of the bile duct, in patients with portal hypertension. These vascular abnormalities sometimes bring on an obstructive jaundice, but they are not clear which vessels participated in obstructive jaundice. The aim of present study was clear the bile ductal changes in patients with portal hypertension in hopes of establishing a therapeutic strategy for obstructive jaundice caused by biliary varices. Three hundred and thirty-seven patients who underwent intraductal ultrasound (IDUS) during endoscopic retrograde cholangiography for biliary abnormalities were enrolled. Portal biliopathy was analyzed using IDUS. Biliary varices were identified in 11 (2.7%) patients. IDUS revealed biliary varices as multiple, hypoechoic features surrounding the bile duct wall. These varices could be categorized into one of two groups according to their location in the sectional image of bile duct: epicholedochal and paracholedochal. Epicholedochal varices were identified in all patients, but paracholedochal varices were observed only in patients with extrahepatic portal obstruction. IDUS was useful to characterize the anatomy of portal biliopathy in d...Continue Reading

References

Nov 9, 2002·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·R SchaibleB Kreft

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Citations

Sep 15, 2018·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Prodromos Hytiroglou, Ian R Wanless
Feb 24, 2016·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Vikram BhatiaAmar Mukund
Mar 29, 2018·Scientific Reports·Petros C BeniasNeil D Theise
Oct 6, 2020·Endoscopy International Open·Tsuyoshi SudaEiki Matsushita
Sep 28, 2016·World Journal of Gastroenterology : WJG·Mohammad S KhurooMehnaaz S Khuroo
May 4, 2016·Gastroenterology·Luca BarresiMario Traina

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Methods Mentioned

BETA
sedation
biopsy

Software Mentioned

Statcel

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