Is Seeing Really Believing? Probe-based Confocal Laser Endomicroscopy in the Evaluation of Pancreaticobiliary Disease

被引：0
作者：
Storm, Andrew C. [1 ]
Lee, Linda S. [1 ,2 ]
机构：
[1] Harvard Univ, Sch Med, Brigham & Womens Hosp, Div GI Hepatol & Endoscopy, Boston, MA 02115 USA
[2] Endoscop Educ & Womens Hlth GI, Boston, MA USA
来源：
JOURNAL OF CLINICAL GASTROENTEROLOGY | 2016年 / 50卷 / 05期
关键词：
confocal laser endomicroscopy; cholangioscopy; ERCP; biliary stricture; pancreatic cyst; EUS-FNA; INDETERMINATE BILIARY STRICTURES; PRIMARY SCLEROSING CHOLANGITIS; BILE-DUCT; INTEROBSERVER AGREEMENT; DIRECT VISUALIZATION; DIAGNOSTIC-ACCURACY; CYSTIC NEOPLASMS; CLASSIFICATION; FLUORESCEIN; LESIONS;
D O I：
暂无
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Confocal laser endomicroscopy for real-time diagnosis during endoscopic procedures has now been in the mainstream clinical arena for a decade. Indeterminate biliary strictures and pancreatic cysts remain 2 difficult diagnostic challenges for the gastroenterologist, and the role this technology will play in the approach to these problems is still evolving. There is now a body of literature to guide the endoscopist in the use of this imaging tool, including how it may be useful in excluding biliary malignancy, and how miniaturization has allowed for endoscopic ultrasound-guided application of the probe within cysts. Interobserver variability remains a weakness of the system. Tips for use of this tool and interpretation of the imaging data it provides are discussed.
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页码：359 / 365
页数：7
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