Endoscopic radiofrequency biliary ablation treatment: a comprehensive review

Andrea Tringali, Guido Costamagna, Alberto Leonardo Larghi, Ivo Boskoski, Gianenrico Rizzatti, Mihai Rimbaș

Risultato della ricerca: Contributo in rivistaArticolo in rivista

19 Citazioni (SciVal)

Abstract

Radiofrequency ablation (RFA) acts by delivering thermal energy within the tissue, the result of a high-frequency alternating current released from an active electrode, leading to coagulative necrosis and cellular death. Recently, a biliary catheter working on a guide-wire has been developed and a number of studies have been performed so far. The present paper provides a comprehensive review of the literature on the results of the use of RFA for the clinical management of patients with unresectable malignant biliary strictures, benign biliary strictures, and residual adenomatous tissue in the bile duct after endoscopic papillectomy. The available data show that biliary RFA treatment is a promising adjuvant therapy in patients with unresectable malignant biliary obstruction. The procedure is safe, well tolerated and improves stent patency and survival, even though more studies are warranted. In patients with residual endobiliary adenomatous tissue after endoscopic papillectomy, a significant rate of neoplasia eradication after a single RFA session has been reported, thus favoring this treatment over surgical intervention. In these patients, as well as, in those with benign biliary strictures, dedicated probes with a short electrode able to focus the RF current on the short stenosis are needed to expand RFA treatment for these indications.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaDigestive Endoscopy
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • ERCP
  • Personalized medicine
  • biliary strictures
  • cholangiocarcinoma
  • endoscopic radiofrequency ablation
  • residual ampullary adenoma

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