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Endoscopy 1979; 11(1): 28-35
DOI: 10.1055/s-0028-1098321
Original Contributions

© Georg Thieme Verlag, Stuttgart

The Choledochoscopic and Histopathological Grading of Choledochitis

Makroskopische und histopathologische Einteilung der GallengangsentzündungA. Nishimura1 , H. Otsu2 , T. Hiura3
  • 1Division of Gastroenterology, Chiba Cancer Center Hospital, Chiba, Japan, Presented at the Sixth World Congress of Gastroenterology, Madrid, June 5-9,1978.
  • 2Division of Physiology and Pathology, National Institute of Radiological Sciences, Chiba,Japan, Presented at the Sixth World Congress of Gastroenterology, Madrid, June 5-9,1978.
  • 3Division of Surgery, Funabashi Central Hospital, Funabashi, Japan, Presented at the Sixth World Congress of Gastroenterology, Madrid, June 5-9,1978.
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Publication History

Publication Date:
03 December 2008 (online)

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Summary

The choledochoscopic photographs of 91 and 119 patients with cholecystolithiasis and choledocholithiasis respectively were reviewed on the basis of endoscopic grading. By analogy with the system of the grading, the diseases were also divided into four histopathological gradings. Choledochoscopy provides an alternative approach to the diagnosis of choledochitis, which is also corroborated by the histopathological data in calculous diseases.

Zusammenfassung

Die choledochoskopischen Aufnahmen von 91 Patienten mit Cholezystolithiasis und 119 mit Choledocholithiasis wurden analysiert zwecks einer endoskopischen Einteilung in verschiedene Grade. In Analogie zu dem endoskopischen Klassifikationssystem erfolgte eine histopathologische Einteilung in vier Grade. Die Choledochoskopie stellt eine Alternativmethode bei der Diagnostik der Choledochitis dar, die auch durch histopathologische Daten bei Gallensteinkrankheiten bekräftigt wurde.

Key-Words

Choledochitis - calculous diseases - choledochoscopy - common bile duct biopsy