Video Tip: Proving Cancer in Indeterminate Biliary Structures | August 2024-Proving Cancer in Indeterminate Biliary Structures

Proving Cancer in Indeterminate Biliary Structures

Video Transcription

Video Summary

The video sponsored by Braintree covers tips for approaching indeterminate biliary strictures. The recommendation is to perform both EUS with ERCP for better detection of small masses and lymph nodes. FNA is advised for distal lesions, but not for higher masses if transplant evaluation is possible. Brush cytology is suggested if ERCP is done without local expertise. Cholangioscopy with visual impression and biopsies is recommended, especially for higher strictures. Repeat attempts may be needed if sampling is negative. Collaboration with surgeons and oncologists is crucial in managing these cases.

Keywords

indeterminate biliary strictures

EUS with ERCP

FNA

Cholangioscopy

collaboration with surgeons and oncologists