Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jan-Feb;52(1):41-42.
doi: 10.1590/0100-3984.2017.0228.

Percutaneous transhepatic cholangiobiopsy

Thiago Franchi Nunes  1 , Tiago Kojun Tibana  1 , Rômulo Florêncio Tristão Santos  1 , Bernardo Bacelar de Faria  2 , Edson Marchiori  3
Affiliations

Percutaneous transhepatic cholangiobiopsy

Thiago Franchi Nunes et al. Radiol Bras. 2019 Jan-Feb.

Abstract
in English, Portuguese

Most tumors of the biliary tract are too small to have specific imaging characteristics or for percutaneous puncture to provide sufficient material for diagnosis. Percutaneous transhepatic biliary drainage, in addition to being a well-established technique in the treatment of obstructive jaundice, provides adequate access for sampling obstructive lesions. In cases of biliary lesions, percutaneous transhepatic biopsy of the biliary tract has proven to be a useful diagnostic technique, with a reported accuracy of over 90% at some referral centers.

Os tumores das vias biliares são, em sua maioria, muito pequenos para apresentarem características específicas por imagem ou para permitir punção percutânea com material suficiente para o diagnóstico. A drenagem biliar trans-hepática percutânea, além de ser uma técnica bem estabelecida no tratamento de icterícia obstrutiva, fornece um acesso adequado para amostragem de lesões obstrutivas. Nos casos de lesões biliares, a colangiobiópsia transbiliar percutânea demonstra ser uma boa técnica diagnóstica, com acurácia ultrapassando 90% em alguns centros de referência.

Keywords: Bile duct neoplasms; Biliary tract; Biopsy, needle/methods; Biopsy/methods; Cholangiography.

PubMed Disclaimer

Figures

Figure 1
Figure 1
A: Puncture of the right bile duct in a patient with Bismuth type II stenosis. B: Passage of a 0.035-in guidewire, placement of a 9F sheath, and throughthe- needle forceps biopsy. The pathology report revealed cholangiocarcinoma.
Figure 2
Figure 2
A: Puncture of the left bile duct in a patient with Bismuth type I stenosis. B: Placement of an 8F sheath and through-the-needle forceps biopsy with no guidewire. The pathology report revealed liver metastasis of colorectal carcinoma.
See this image and copyright information in PMC

References

    1. Li Z, Li TF, Ren JZ, et al. Value of percutaneous transhepatic cholangiobiopsy for pathologic diagnosis of obstructive jaundice: analysis of 826 cases. Acta Radiol. 2017;58:3–9. - PubMed
    1. Smith I, Monkemuller K, Wilcox CM. Incidentally identified common bile duct dilatation: a systematic review of evaluation, causes, and outcome. J Clin Gastroenterol. 2015;49:810–815. - PubMed
    1. Tapping CR, Byass OR, Cast JE. Cytological sampling versus forceps biopsy during percutaneous transhepatic biliary drainage and analysis of factors predicting success. Cardiovasc Intervent Radiol. 2012;35:883–889. - PubMed
    1. Boos J, Yoo RJ, Steinkeler J, et al. Fluoroscopic percutaneous brush cytology, forceps biopsy and both in tandem for diagnosis of malignant biliary obstruction. Eur Radiol. 2018;28:522–529. - PubMed
    1. Schiavon LHO, Tyng CJ, Travesso DJ, et al. Computed tomography-guided percutaneous biopsy of abdominal lesions: indications, techniques, results, and complications. Radiol Bras. 2018;51:141–146. - PMC - PubMed

LinkOut - more resources