Endoscopic management of hilar cholangiocarcinoma.

Published online

Journal Article (Review)

Hilar cholangiocarcinoma has a poor prognosis and surgery remains the only curative option. However, few patients are diagnosed at a curable stage and palliative therapies are, therefore, mandatory. Endoscopy could have a useful role in the work-up of patients with hilar cholangiocarcinoma who are unsuitable for surgery. Endoscopic retrograde cholangiopancreatography provides an opportunity to collect specimens for cytological or histological diagnosis, yet is often nondiagnostic. Other techniques, including fluorescence in situ hybridization, confocal laser endomicroscopy and endoscopic ultrasonography, are now improving the accuracy of tissue diagnosis. This Review presents an overview of the diagnostic and therapeutic role of endoscopic procedures in the management of hilar cholangiocarcinoma. The use of such procedures in guiding the therapeutic management of patients with hilar cholangiocarcinoma is discussed, and the relative success of endoscopic stenting as the main palliative therapy for obstructive jaundice (a common complication of hilar cholangiocarcinoma) is described. The potential role of photodynamic therapy as a palliative treatment for patients with hilar cholangiocarcinoma is also outlined.

Full Text

Duke Authors

Cited Authors

  • Parodi, A; Fisher, D; Giovannini, M; Baron, T; Conio, M

Published Date

  • January 24, 2012

Published In

Volume / Issue

  • 9 / 2

Start / End Page

  • 105 - 112

PubMed ID

  • 22269953

Pubmed Central ID

  • 22269953

Electronic International Standard Serial Number (EISSN)

  • 1759-5053

Digital Object Identifier (DOI)

  • 10.1038/nrgastro.2011.271

Language

  • eng

Conference Location

  • England