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Original Article
Diagnostic Value of Endoscopic Ultrasonography for Common Bile Duct Dilatation without Identifiable Etiology Detected from Cross-Sectional Imaging
Nonthalee Pausawasdi, Penprapai Hongsrisuwan, Lubna Kamani, Kotchakon Maipang, Phunchai Charatcharoenwitthaya
Clin Endosc 2022;55(1):122-127.   Published online January 3, 2022
DOI: https://doi.org/10.5946/ce.2021.122
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasonography (EUS) is warranted when cross-sectional imaging demonstrates common bile duct (CBD) dilatation without identifiable causes. This study aimed to assess the diagnostic performance of EUS in CBD dilatation of unknown etiology.
Methods
Retrospective review of patients with dilated CBD without definite causes undergoing EUS between 2012 and 2017.
Results
A total of 131 patients were recruited. The mean age was 63.2±14.1 years. The most common manifestation was abnormal liver chemistry (85.5%). The mean CBD diameter was 12.2±4.1 mm. The area under the receiver operating characteristic curve (AUROC) of EUS-identified pathologies, including malignancy, choledocholithiasis, and benign biliary stricture (BBS), was 0.98 (95% confidence interval [CI], 0.95-1.00). The AUROC of EUS for detecting malignancy, choledocholithiasis, and BBS was 0.91 (95% CI, 0.85-0.97), 1.00 (95% CI, 1.00-1.00), and 0.93 (95% CI, 0.87-0.99), respectively. Male sex, alanine aminotransferase ≥3× the upper limit of normal (ULN), alkaline phosphatase ≥3× the ULN, and intrahepatic duct dilatation were predictors for pathological obstruction, with odds ratios of 5.46 (95%CI, 1.74-17.1), 5.02 (95% CI, 1.48-17.0), 4.63 (95% CI, 1.1-19.6), and 4.03 (95% CI, 1.37-11.8), respectively.
Conclusions
EUS provides excellent diagnostic value in identifying the etiology of CBD dilatation detected by cross-sectional imaging.

Citations

Citations to this article as recorded by  
  • Incidental findings of gallbladder and bile ducts – Management strategies: Normal findings, anomalies, “silent gallstones” and bile duct dilatation - A World Federation of Ultrasound in Medicine and Biology (WFUMB) position paper
    Christian Jenssen, Christian P. Nolsøe, Torben Lorentzen, Jae Young Lee, Nitin Chaubal, Kathleen Möller, Caroline Ewertsen, Xin Wu Cui, Edda Leonor Chaves, Alina Popescu, Yi Dong, Christoph F. Dietrich
    WFUMB Ultrasound Open.2024; 2(1): 100034.     CrossRef
  • Diagnostic yield of endoscopic ultrasound in dilated common bile duct with non-diagnostic cross-sectional imaging
    Ankit Mahajan, Kshaunish Das, Kishalaya, Debashis Misra, Kausik Das, Gopal Krishna Dhali
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Role of endoscopic ultrasound in the evaluation of unexplained extrahepatic bile duct dilatation
    Long-Jiang Chen, Xiao-Yi Wang, Jian-Hua Dai, Zhi-Gang Tang
    European Journal of Gastroenterology & Hepatology.2023; 35(1): 73.     CrossRef
  • The Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound Connection: Unity Is Strength, or the Endoscopic Ultrasonography Retrograde Cholangiopancreatography Concept
    Claudio Giovanni De Angelis, Eleonora Dall’Amico, Maria Teresa Staiano, Marcantonio Gesualdo, Mauro Bruno, Silvia Gaia, Marco Sacco, Federica Fimiano, Anna Mauriello, Simone Dibitetto, Chiara Canalis, Rosa Claudia Stasio, Alessandro Caneglias, Federica Me
    Diagnostics.2023; 13(20): 3265.     CrossRef
  • Value of Endoscopic Ultrasonography in Evaluating Unexplained Isolated Common Bile Duct Dilation on Imaging
    Seifeldin Hakim, Amrita Sethi
    Clinical Endoscopy.2022; 55(1): 47.     CrossRef
  • 4,817 View
  • 216 Download
  • 5 Web of Science
  • 5 Crossref
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Focused Review Series: Image-Enhanced Endoscopy: Update on Clinical Practice
Current Status of Image-Enhanced Endoscopy for Early Identification of Esophageal Neoplasms
Shin Hee Kim, Su Jin Hong
Clin Endosc 2021;54(4):464-476.   Published online July 26, 2021
DOI: https://doi.org/10.5946/ce.2021.186
AbstractAbstract PDFPubReaderePub
Advanced esophageal cancer is known to have a poor prognosis. The early detection of esophageal neoplasms, including esophageal dysplasia and early esophageal cancer, is highly important for the accurate treatment of the disease. However, esophageal dysplasia and early esophageal cancer are usually subtle and can be easily missed. In addition to the early detection, proper pretreatment evaluation of the depth of invasion of esophageal cancer is very important for curative treatment. The progression of non-invasive diagnosis via image-enhanced endoscopy techniques has been shown to aid the early detection and estimate the depth of invasion of early esophageal cancer and, as a result, may provide additional opportunities for curative treatment. Here, we review the advancement of image-enhanced endoscopy-related technologies and their role in the early identification of esophageal neoplasms.

Citations

Citations to this article as recorded by  
  • An umbrella-inspired snap-on robotic 3D photoacoustic endoscopic probe for augmented intragastric sensing: Proof of concept study
    Li Liu, Ang Li, Yisong Zhao, Luyao Zhu, Yongjian Zhao, Fei Gao
    Photoacoustics.2024; 35: 100568.     CrossRef
  • Curative criteria for endoscopic treatment of oesophageal adenocarcinoma
    Annemijn D.I. Maan, Prateek Sharma, Arjun D. Koch
    Best Practice & Research Clinical Gastroenterology.2024; 68: 101886.     CrossRef
  • Advanced Endoscopic Techniques to Detect Prevalence of Synchronous Oesophageal Cancers in Patients with Head and Neck Cancers
    Cynthia Susan Mathew, Roshna Rose Paul, Suma Susan Mathews, Reuben Thomas Kurien, Rita Ruby A. Albert, Amit Kumar Dutta, Sudipta Dhar Chowdhury, A. J. Joseph, Ebby George Simon
    Indian Journal of Otolaryngology and Head & Neck Surgery.2024; 76(6): 5133.     CrossRef
  • Current status and perspectives of esophageal cancer: a comprehensive review
    Wei Jiang, Bo Zhang, Jiaqi Xu, Liyan Xue, Luhua Wang
    Cancer Communications.2024;[Epub]     CrossRef
  • Biomarkers for Early Detection, Prognosis, and Therapeutics of Esophageal Cancers
    Vikrant Rai, Joe Abdo, Devendra K. Agrawal
    International Journal of Molecular Sciences.2023; 24(4): 3316.     CrossRef
  • Magnifying Endoscopy with Narrow-Band Imaging for Duodenal Neuroendocrine Tumors
    Gwang Ha Kim, Kiyoun Yi, Dong Chan Joo, Moon Won Lee, Hye Kyung Jeon, Bong Eun Lee
    Journal of Clinical Medicine.2023; 12(9): 3106.     CrossRef
  • Role of linked color imaging for upper gastrointestinal disease: present and future
    Sang Pyo Lee
    Clinical Endoscopy.2023; 56(5): 546.     CrossRef
  • Analysis of Colorectal and Gastric Cancer Classification: A Mathematical Insight Utilizing Traditional Machine Learning Classifiers
    Hari Mohan Rai, Joon Yoo
    Mathematics.2023; 11(24): 4937.     CrossRef
  • Application of artificial intelligence-assisted endoscopic detection of early esophageal cancer
    Qing Li, Bing-Rong Liu
    World Chinese Journal of Digestology.2021; 29(24): 1389.     CrossRef
  • 6,541 View
  • 358 Download
  • 9 Web of Science
  • 9 Crossref
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