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논문 기본 정보

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학술저널
저자정보
Hiroki Koda (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Kazuo Hara (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Okuno Nozomi (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Takamichi Kuwahara (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Mizuno Nobumasa (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Shin Haba (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Miyano Akira (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Isomoto Hajime (Department of Gastroenterology Tottori University Hospital Yonago Japan)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제6호
발행연도
2021.11
수록면
924 - 929 (6page)
DOI
10.5946/ce.2020.191

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Probe-based confocal laser endomicroscopy is an endoscopic technique that enables in vivo histological evaluation using fluorescentpigment. The ability to diagnostically differentiate between benign and malignant biliary disease using the “CholangioFlexTM”, adedicated biliary device, has been reported. However, the Miami and Paris classifications, used as diagnostic criteria, mainly evaluatefindings in the submucosa, and visualizing the epithelium as the main site of lesions remains difficult. To address this problem, weverified the imaging findings and diagnostic ability of three types of probes: CholangioFlexTM, GastroFlexTM, and AlveoFlexTM. WithGastroFlexTM, the clear mucosal epithelium was observed, and differential diagnoses as benign/malignant could be made based onepithelial findings. GastroFlexTM may be a good first-choice probe for probe-based confocal laser endomicroscopy of biliary diseases,and a new diagnostic classification based on bile duct epithelial findings may provide useful criteria independent of the Miami orParis classifications.

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