Endoskopische Diagnostik der unklaren Gallengangsstenose: Aktueller Stand und Ausblick

Zusammenfassung

Patienten mit unklarer Gallengangsstenose stellen regelhaft eine Herausforderung an den klinisch tätigen Gastroenterologen dar. So sollten Patienten mit malignen und potenziell resektablen Erkrankungen so bald wie möglich einer kurativen Operation zugeführt werden. Gleichzeitig sollte bei Patienten mit benignen und potenziell konservativ behandelbaren Erkrankungen eine umfangreiche Operation vermieden werden. Diese Arbeit soll eine Übersicht vermitteln über die Aussagekraft der zurzeit verfügbaren endoskopischen Diagnostik sowie einen Ausblick geben auf potenziell in der Zukunft relevante Verfahren.

Summary

Patients with indeterminate biliary stricture frequently pose a challenge in the clinical management. Patients with malignant and potentially resectable diseases should be treated surgically as soon as possible. On the other hand, in patients with benign diseases which might be cured with medial treatment, surgery should be avoided. This review shall provide a concise overview on the diagnostic yield of currently available endoscopic methods as well as describe methods of potential relevance in the future.

Schlüsselwörter

Unklare Gallengangsstenose - Gallengwegssystem - sklerosierende Cholangitis - Diagnostik - Cholangiokarzinom

Key words

indeterminate biliary stricture - biliary tract - sclerosing cholangitis - diagnostics - cholangiocarcinoma

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