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Endoscopic Management of Cholangiocarcinoma

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Diagnosis and Management of Cholangiocarcinoma

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Abstract

Cholangiocarcinoma (CCA) is the most frequent and aggressive malignant tumor of the biliary tract. Endoscopic management has evolved in recent years and has come to hold a vital role in the management of CCA. Classically, the endoscopic approach was limited to palliative procedures for draining the biliary tract. With the development and use of new techniques such as cholangioscopy, endoscopy can not only facilitate early detection of CCA but also offers the possibility of novel therapies such as radiofrequency and photodynamic therapy that can improve quality of life and mortality. In this chapter we describe old and new endoscopic techniques with some perspectives regarding future developments in the field and the enduring need to help improve survival associated with this aggressive malignancy.

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Abbreviations

AJCC:

American Joint Committee on Cancer

CCA:

Cholangiocarcinoma

CT:

Computerized tomography

dCCA:

Distal cholangiocarcinoma

ERCP:

Endoscopic retrograde cholangiopancreatography

FNA:

Fine-needle aspiration

iCCA:

Intrahepatic cholangiocarcinoma

MRCP:

Magnetic resonance cholangiopancreatography

MRI:

Magnetic resonance imaging

pCCA:

Perihilar cholangiocarcinoma

PDT:

Photodynamic therapy

PTC:

Percutaneous transhepatic cholangiography

RFA:

Radiofrequency ablation

SEMS:

Self-expanding metallic stent

SOCP:

Single operatory cholangiopancreatoscope

TNM:

Tumor-node-metastasis classification

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Authors and Affiliations

  1. Digestive Endoscopy Unit, Hospital Puerto Montt, University San Sebastian, Puerto Montt, Chile

    Rodrigo Mansilla-Vivar

  2. Department of Internal Medicine, Hospital Puerto Montt, Puerto Montt, Chile

    Camila Bahamonde-Ovando

  3. Digestive Endoscopy Unit, Hospital Puerto Montt, Puerto Montt, Chile

    Renato Carrasco-Farias

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  1. Rodrigo Mansilla-Vivar
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  2. Camila Bahamonde-Ovando
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  3. Renato Carrasco-Farias
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Editors and Affiliations

  1. Division of Gastroenterology, Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA

    James H. Tabibian

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Mansilla-Vivar, R., Bahamonde-Ovando, C., Carrasco-Farias, R. (2021). Endoscopic Management of Cholangiocarcinoma. In: Tabibian, J.H. (eds) Diagnosis and Management of Cholangiocarcinoma. Springer, Cham. https://doi.org/10.1007/978-3-030-70936-5_12

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