What is the current role of endoscopy in primary sclerosing cholangitis?
Endoscopy has important roles in the management of primary sclerosing cholangitis (PSC), ranging from narrowing down the differential diagnoses, screening for complications, determining prognosis and therapy. While the need for a diagnostic endoscopic retrograde cholangiopancreatography (ERCP) may be obviated by a positive magnetic resonance cholangiopancreatography (MRCP), a negative MRCP does not exclude PSC and may therefore necessitate an ERCP, which is traditionally regarded as the gold standard. In this editorial we have not covered the endoscopic management of inflammatory bowel disease in the context of PSC nor of endoscopic surveillance and treatment of portal hypertension complicating PSC.
Benjamin Tharian, Center for Interventional Endoscopy, Florida Hospital, Orlando, FL 32803, United States.
Benjamin
B
Tharian
Benjamin Tharian, Center for Interventional Endoscopy, Florida Hospital, Orlando, FL 32803, United States.
Nayana Elizabeth
NE
George
Benjamin Tharian, Center for Interventional Endoscopy, Florida Hospital, Orlando, FL 32803, United States.
Tony Chiew Keong
TC
Tham
Biochemical markers; Cholangiocarcinoma; Endoscopic retrograde cholangiopancreatography; Endosonography; Fluorescence in situ hybridization technique; Sclerosing cholangitis; Stents