Successful cholangioscopic electrocoagulation for biliary papillomatosis: Report covering six cases (with video) |
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| Institution: | 1. Department of Gastroenterology, West China Hospital, Sichuan University, China;2. Department of Internal Medicine, Division of Digestive and Liver Diseases, The Vanderbilt University Medical Center, Nashville, TN, USA;1. Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, India;2. Department of Clinical Imaging and Interventional Radiology, Apollo Gleneagles Hospitals, Kolkata, India;1. Department of Gastroenterology and Digestive Oncology, Cochin Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France;2. Department of Pathology, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France;3. Department of Digestive Surgery, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France;4. Department of Radiology, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France;5. Department of Radiotherapy, Georges Pompidou European Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France;6. Université de Paris, France;1. Department of Surgery, Keio University School of Medicine, Japan;2. Department of Pathology, Keio University School of Medicine, Japan;3. Department of Internal Medicine, Keio University School of Medicine, Japan;1. Department of Gastroenterology, School of Digestive and Liver Diseases (SDLD), IPGMER & SSKM Hospital, Kolkata, India;2. Department of Hepatology, School of Digestive and Liver Diseases (SDLD), IPGMER & SSKM Hospital, Kolkata, India |
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| Abstract: | BackgroundBiliary papillomatosis is a rare type of papillomatosis. Depending on the location of the disease, radical surgical resection or liver transplants are the treatment of choice. These radical surgical options may be unrealistic in patients who are not surgical candidates or who are unwilling to consider surgery.AimsTo evaluate the effectiveness of endoscopic electrocoagulation for the biliary papillomatosis.MethodsIn this case series, we report six patients with unresectable biliary papillomatosis who underwent cholangioscopic electrocoagulation using needle knife and their clinic follow up information.ResultsAfter patients received cholangioscopy with electrocoagulation of the residual biliary papilloma, the daily T-tube drainage volume increased to 200–400 ml with improvement in the drainage content and significant relief of clinical symptoms, such as jaundice and abdominal pain.ConclusionThis method of using electrocoagulation to directly target and destroy tumor tissue is a safe and effective alternative for those with unresectable disease, and this method has shown to enhance T-tube drainage volume and improve patients’ overall clinical symptoms. |
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| Keywords: | Cholangioscopic Electrocoagulation Biliary papillomatosis Colangioscopia Electrocoagulación Papilomatosis biliar |
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