Indexing
CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học
Abstract
Malignant biliary obstruction is common, yet severe, clinical condition caused by various etiologies such as cholangiocarcinoma, pancreatic cancer, hepatocellular carcinoma, metastatic lymphadenopathy… Histopathological confirmation of the nature of the biliary stricture is requisite for oncologic therapies. Percutaneous transluminal forceps biopsy (PTFB) is a safe and effective alternative to traditional endoscopic retrograde cholangiopancreatography-guided brushing, cyto-aspiration or biopsy, endoscopic ultrasound
guided fine-needle aspiration or percutaneous transabdominal biopsy in cases where the lesions are deemed unfeasible or potentially high risk for the aforementioned modalities. We report 3 cases of obstructive jaundice compatible with malignant biliary obstruction based on clinical presentation, laboratory tests and imaging findings. These patients underwent PTFB combined with percutaneous transhepatic biliary drainage for the management of obstruction. All the samples were pathologically diagnostic as malignant. PTFB is a safe and effective procedure for tissue sampling which facilitate further oncologic treatments.
| Published | 2026-03-28 | |
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| Issue | Vol. 16 No. 1 (2026) | |
| Section | Original Articles | |
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| Keywords | vàng da, mật, u, sinh thiết, dẫn lưu jaundice, bile, neoplasms, biopsy, drainage |
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Hristov B, Doykov D, Andonov V, Doykov M, Kraev K, Uchikov P, et al. Interventional Treatment of Malignant Biliary Obstruction: Is It Time to Change the Paradigm? Gastroenterology Insights. 2024;15(2):266-84.
Das M, van der Leij C, Katoh M, Benten D, Hendriks BMF, Hatzidakis A. CIRSE Standards of Practice on Percutaneous Transhepatic Cholangiography, Biliary Drainage and Stenting. Cardiovascular and interventional radiology. 2021;44(10):1499-509.
Pavlidis ET, Pavlidis TE. Pathophysiological consequences of obstructive jaundice and perioperative management. Hepatobiliary & pancreatic diseases international : HBPD INT. 2018;17(1):17-21.
Cai Q, Wu X. Ultrasound-guided percutaneous transhepatic biliary drainage for distal biliary malignant obstructive jaundice. Sci Rep. 2024;14(1):12481.
Niemela J, Kallio R, Ohtonen P, Perala J, Saarnio J, Syrjala H. Is Palliative Percutaneous Drainage for Malignant Biliary Obstruction Useful? World journal of surgery. 2018;42(9):2980-6.
Pu LZ, Singh R, Loong CK, de Moura EG. Malignant Biliary Obstruction: Evidence for Best Practice. Gastroenterology research and practice.2016;2016:3296801.
Expert Panel on Gastrointestinal Intervention, Hindman NM, Arif-Tiwari H, Kamel IR, Al-Refaie WB, Bartel TB, et al. ACR Appropriateness Criteria((R)) Jaundice. Journal of the American College of Radiology : JACR. 2019;16(5S):S126-S40.
Expert Panel on Interventional Radiology, Fairchild AH, Hohenwalter EJ, Gipson MG, Al-Refaie WB, Braun AR, et al. ACR Appropriateness Criteria((R)) Radiologic Management of Biliary Obstruction. Journal of the American College of Radiology : JACR. 2019;16(5S):S196-S213.
Park JG, Jung GS, Yun JH, Yun BC, Lee SU, Han BH, et al. Percutaneous transluminal forceps biopsy in patients suspected of having malignant biliary obstruction: factors influencing the outcomes of 271 patients. Eur Radiol. 2017;27(10):4291-7.
Singh A, Gelrud A, Agarwal B. Biliary strictures: diagnostic considerations and approach. Gastroenterol Rep (Oxf). 2015;3(1):22-31.
Rees J, Mytton J, Evison F, Mangat KS, Patel P, Trudgill N. The outcomes of biliary drainage by percutaneous transhepatic cholangiography for the palliation of malignant biliary obstruction in England between 2001 and 2014: a retrospective cohort study. BMJ Open. 2020;10(1):e033576.
Gupta P, Maralakunte M, Rathee S, Samanta J, Sharma V, Mandavdhare H, et al. Percutaneous transhepatic biliary drainage in patients at higher risk for adverse events: experience from a tertiary care referral center. Abdominal radiology. 2020;45(8):2547-53.
Fohlen A, Bazille C, Menahem B, Jegonday MA, Dupont B, Le Pennec V, et al. Transhepatic forceps biopsy combined with biliary drainage in obstructive jaundice: safety and accuracy. Eur Radiol. 2019;29(5):2426-35.
Jeon TY, Choi MH, Yoon SB, Soh JS, Moon SH. Systematic review and meta-analysis of percutaneous transluminal forceps biopsy for diagnosing malignant biliary strictures. Eur Radiol. 2022;32(3):1747-56
Wu ZY, Jiao DC, Guo FF, Zhang DD, Ren JZ, Han XW. Treatment of biliary stenosis using percutaneous transhepatic cholangiobiopsy with biopsy forceps of varying diameter. Quant Imaging Med Surg. 2022;12(1):207-14.
Augustin AM, Steingruber M, Fluck F, Goetze O, Bley TA, Kickuth R. Percutaneous endobiliary forceps biopsy of biliary strictures for histopathologic examination. Diagn Interv Radiol. 2020;26(4):339-44.
Liu Y, Zhou X, Kong L, Han X, Jiao D. Percutaneous transhepatic intraluminal forceps biopsy for patients with biliary stricture after endoscopic retrograde approach failure: a retrospective study. Quant Imaging Med Surg. 2023;13(4):2605-19.