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Shiaw-Hooi Ho 2 Articles
Endoscopic Ablation Therapy for Biliopancreatic Malignancies
Jason Roque, Shiaw-Hooi Ho, Nageshwar Reddy, Khean-Lee Goh
Clin Endosc 2015;48(1):15-19.   Published online January 31, 2015
DOI: https://doi.org/10.5946/ce.2015.48.1.15
AbstractAbstract PDFPubReaderePub

Biliopancreatic malignancies such as cholangiocarcinoma (CCA) has notoriously been diagnosed late. As such most therapy have been palliative in nature. Cholangioscopy allows for an earlier diagnosis to be made. Brachytherapy with the insertion of catheter with iridium-132 seeds, percutaneously or through endoscopic retrograde cholangiopancreatography (ERCP) was the earliest ablative techniques used. It has been shown to have a beneficial effect only in prolonging survival. Photodynamic therapy (PDT) has also been used for several years. stenting with PDT versus stenting alone for unresectable CCA showed a marked survival benefit with the addition of PDT. However the most exciting endoscopic ablative modality appears to be intraductal radiofrequency ablation using the Habib catheter and device. Several case series have shown the effectiveness of this technique in ablating tumors. This technique is evolving and coupled with early diagnosis of CCA through cholangioscopy will allow for a curative therapy. The crux to the effective treatment of early cancerous lesions in the bile or pancreatic duct is the early diagnosis of such lesions. Effective endoscopic ablative therapy is now available with the advent of radiofrequency ablation probes that can be passed through the duodenoscope via ERCP.

Citations

Citations to this article as recorded by  
  • Clinical and cost effectiveness of endoscopic bipolar radiofrequency ablation for the treatment of malignant biliary obstruction: a systematic review
    Fiona Beyer, Stephen Rice, Giovany Orozco-Leal, Madeleine Still, Hannah O’Keefe, Nicole O’Connor, Akvile Stoniute, Dawn Craig, Stephen Pereira, Louise Carr, John Leeds
    Health Technology Assessment.2023; : 1.     CrossRef
  • Impact of endobiliary radiofrequency ablation on survival of patients with unresectable cholangiocarcinoma: a narrative review
    Elena Di Girolamo, Andrea Belli, Alessandro Ottaiano, Vincenza Granata, Valentina Borzillo, Luca Tarotto, Fabiana Tatangelo, Raffaele Palaia, Corrado Civiletti, Mauro Piccirillo, Valentina D’Angelo, Francesco Fiore, Pietro Marone, Guglielmo Nasti, Frances
    Frontiers in Oncology.2023;[Epub]     CrossRef
  • Endoscopic Management of Pancreatobiliary Malignancies
    Dong Wook Lee, Eun Young Kim
    Digestive Diseases and Sciences.2022; 67(5): 1635.     CrossRef
  • Survival Benefit of Intraductal Radiofrequency Ablation for Malignant Biliary Obstruction: A Systematic Review with MetaAnalysis
    Byung Hyo Cha, Myoung-Jin Jang, Sang Hyub Lee
    Clinical Endoscopy.2021; 54(1): 100.     CrossRef
  • Biliary endoscopy in the management of primary sclerosing cholangitis and its complications
    Brian M. Fung, James H. Tabibian
    Liver Research.2019; 3(2): 106.     CrossRef
  • Diagnostic and therapeutic single-operator cholangiopancreatoscopy with SpyGlassDS™: results of a multicenter retrospective cohort study
    Felicia Turowski, Ulrich Hügle, Arno Dormann, Matthias Bechtler, Ralf Jakobs, Uwe Gottschalk, Ellen Nötzel, Dirk Hartmann, Albrecht Lorenz, Frank Kolligs, Wilfried Veltzke-Schlieker, Andreas Adler, Olaf Becker, Bertram Wiedenmann, Nataly Bürgel, Hanno Trö
    Surgical Endoscopy.2018; 32(9): 3981.     CrossRef
  • Klinischer Stellenwert der modularen Cholangioskopie
    C. Bojarski, F. Turowski
    Der Gastroenterologe.2017; 12(3): 202.     CrossRef
  • Radiofrequency ablation for management of malignant biliary obstruction: a single-center experience and review of the literature
    Amit Kumar Dutta, Umesh Basavaraju, Laura Sales, John Samuel Leeds
    Expert Review of Gastroenterology & Hepatology.2017; 11(8): 779.     CrossRef
  • Endoluminal Nd:YAG laser application in ex vivo biliary porcine tissue
    Roberta Rea, Francesco Maria Di Matteo, Margareth Martino, Monica Pandolfi, Paola Saccomandi, Carla Rabitti, Anna Crescenzi, Guido Costamagna
    Lasers in Medical Science.2017; 32(6): 1411.     CrossRef
  • Endoscopic management of hilar stricture
    Abhishek Gulati, Payal Thakkar, Shyam Thakkar
    Techniques in Gastrointestinal Endoscopy.2016; 18(2): 67.     CrossRef
  • Advances in Therapeutic Cholangioscopy
    Tomazo Antonio Prince Franzini, Renata Nobre Moura, Eduardo Guimarães Hourneaux de Moura
    Gastroenterology Research and Practice.2016; 2016: 1.     CrossRef
  • Review of endoscopic radiofrequency in biliopancreatic tumours with emphasis on clinical benefits, controversies and safety
    María-Victoria Alvarez-Sánchez, Bertrand Napoléon
    World Journal of Gastroenterology.2016; 22(37): 8257.     CrossRef
  • Aktuelle Therapiekonzepte für lokale Cholangiokarzinome
    D. Seehofer, T.B. Brunner, H. Wege
    Der Onkologe.2015; 21(11): 1054.     CrossRef
  • 7,787 View
  • 99 Download
  • 15 Web of Science
  • 13 Crossref
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Preoperative Drainage for Malignant Biliary Strictures: Is It Time for Self-Expanding Metallic Stents?
Jason Roque, Shiaw-Hooi Ho, Khean-Lee Goh
Clin Endosc 2015;48(1):8-14.   Published online January 31, 2015
DOI: https://doi.org/10.5946/ce.2015.48.1.8
AbstractAbstract PDFPubReaderePub

Palliation of jaundice improves the general health of the patient and, therefore, surgical outcomes. Because of the complexity and location of strictures, especially proximally, drainage has been accompanied by increased morbidity due to sepsis. Another concern is the provocation of an inflammatory and fibrotic reaction around the area of stent placement. Preoperative biliary drainage with self-expanding metallic stent (SEMS) insertion can be achieved via a percutaneous method or through endoscopic retrograde cholangiopancreatography. A recently published multicenter randomized Dutch study has shown increased morbidity with preoperative biliary drainage. A Cochrane meta-analysis has also shown a significantly increased complication rate with preoperative drainage. However, few of these studies have used a SEMS, which allows better biliary drainage. No randomized controlled trials have compared preoperative deployment of SEMS versus conventional plastic stents. The outcomes of biliary drainage also depend on the location of the obstruction, namely the difficulty with proximal compared to distal strictures. Pathophysiologically, palliation of jaundice will benefit all patients awaiting surgery. However, preoperative drainage often results in increased morbidity because of procedure-related sepsis. The use of SEMS may change the outcome of preoperative biliary drainage dramatically.

Citations

Citations to this article as recorded by  
  • Outcomes of double-layer continuous suture hepaticojejunostomy in pancreatoduodenectomy and total pancreatectomy
    Niccolò Napoli, Emanuele F. Kauffmann, Rosilde Caputo, Michael Ginesini, Fabio Asta, Cesare Gianfaldoni, Gabriella Amorese, Fabio Vistoli, Ugo Boggi
    HPB.2022; 24(10): 1738.     CrossRef
  • Current Endoscopic Management of Malignant Biliary Stricture
    Chi-Chih Wang, Tzu-Wei Yang, Wen-Wei Sung, Ming-Chang Tsai
    Medicina.2020; 56(3): 114.     CrossRef
  • Effectiveness and risk of biliary drainage prior to pancreatoduodenectomy: review of current status
    Alban Zarzavadjian Le Bian, David Fuks, Raffaele Dalla Valle, Manuela Cesaretti, Vincenzo Violi, Renato Costi
    Surgery Today.2018; 48(4): 371.     CrossRef
  • Progress in Study on Pancreatic Fistula after Pancreaticoduodenectomy
    宝志 刘
    Advances in Clinical Medicine.2018; 08(02): 199.     CrossRef
  • Outcomes of preoperative biliary drainage from a single tertiary center: Is there still a role for plastic stents?
    Michael Xiang Ma, Marcus Woon Soon Chin, Melissa Jennings, Chiang Siah, Simon Edmunds
    Journal of Digestive Diseases.2017; 18(3): 179.     CrossRef
  • Endoscopic management of malignant biliary stenosis. Update and highlights for standard clinical practice
    MªJosé Domper Arnal, Miguel Ángel Simón Marco
    Revista Española de Enfermedades Digestivas.2016;[Epub]     CrossRef
  • Assessment of the effect of interval from presentation to surgery on outcome in patients with peri-ampullary malignancy
    Bassem Amr, Golnaz Shahtahmassebi, Christopher D. Briggs, Matthew J. Bowles, Somaiah Aroori, David A. Stell
    HPB.2016; 18(4): 354.     CrossRef
  • Metal versus plastic stents for drainage of malignant biliary obstruction before primary surgical resection
    Tae Jun Song, Jae Hoon Lee, Sang Soo Lee, Ji Woong Jang, Jung Wook Kim, Tae Jin Ok, Dong Wook Oh, Do Hyun Park, Dong Wan Seo, Sung Koo Lee, Myung-Hwan Kim, Song Cheol Kim, Chul Nam Kim, Sung Cheol Yun
    Gastrointestinal Endoscopy.2016; 84(5): 814.     CrossRef
  • Current status of preoperative drainage for distal biliary obstruction
    Harutoshi Sugiyama
    World Journal of Hepatology.2015; 7(18): 2171.     CrossRef
  • 7,969 View
  • 107 Download
  • 9 Web of Science
  • 9 Crossref
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