Hepatolithiasis and intrahepatic cholangiocarcinoma:A review

Although the incidence of hepatolithiasis is decreasingas the pattern of gallstone disease changes in Asia,the prevalence of hepatolithiasis is persistently high,especially in Far Eastern countries. Hepatolithiasisis an established risk factor for cholangiocarcinoma(CCA), and chronic proliferative i...

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Veröffentlicht in:World journal of gastroenterology : WJG 2015-12, Vol.21 (48), p.13418-13431
Hauptverfasser: Kim, Hyo Jung, Kim, Jae Seon, Joo, Moon Kyung, Lee, Beom Jae, Kim, Ji Hoon, Yeon, Jong Eun, Park, Jong-Jae, Byun, Kwan Soo, Bak, Young-Tae
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container_end_page 13431
container_issue 48
container_start_page 13418
container_title World journal of gastroenterology : WJG
container_volume 21
creator Kim, Hyo Jung
Kim, Jae Seon
Joo, Moon Kyung
Lee, Beom Jae
Kim, Ji Hoon
Yeon, Jong Eun
Park, Jong-Jae
Byun, Kwan Soo
Bak, Young-Tae
description Although the incidence of hepatolithiasis is decreasingas the pattern of gallstone disease changes in Asia,the prevalence of hepatolithiasis is persistently high,especially in Far Eastern countries. Hepatolithiasisis an established risk factor for cholangiocarcinoma(CCA), and chronic proliferative inflammation may beinvolved in biliary carcinogenesis and in inducing theupregulation of cell-proliferating factors. With the useof advanced imaging modalities, there has been muchimprovement in the management of hepatolithiasis andthe diagnosis of hepatolithiasis-associated CCA (HLCCA).However, there are many problems in managingthe strictures in hepatolithiasis and differentiatingthem from infiltrating types of CCA. Surgical resectionis recommended in cases of single lobe hepatolithiasiswith atrophy, uncontrolled stricture, symptom durationof more than 10 years, and long history of biliaryentericanastomosis. Even after resection, patientsshould be followed with caution for development ofHL-CCA, because HL-CCA is an independent prognosticfactor for survival. It is not yet clear whether hepaticresection can reduce the occurrence of subsequentHL-CCA. Furthermore, there are no consistent findingsregarding prediction of subsequent HL-CCA inpatients with hepatolithiasis. In the management ofhepatolithiasis, important factors are the reduction ofrecurrence of cholangitis and suspicion of unrecognizedHL-CCA.
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Hepatolithiasisis an established risk factor for cholangiocarcinoma(CCA), and chronic proliferative inflammation may beinvolved in biliary carcinogenesis and in inducing theupregulation of cell-proliferating factors. With the useof advanced imaging modalities, there has been muchimprovement in the management of hepatolithiasis andthe diagnosis of hepatolithiasis-associated CCA (HLCCA).However, there are many problems in managingthe strictures in hepatolithiasis and differentiatingthem from infiltrating types of CCA. Surgical resectionis recommended in cases of single lobe hepatolithiasiswith atrophy, uncontrolled stricture, symptom durationof more than 10 years, and long history of biliaryentericanastomosis. Even after resection, patientsshould be followed with caution for development ofHL-CCA, because HL-CCA is an independent prognosticfactor for survival. It is not yet clear whether hepaticresection can reduce the occurrence of subsequentHL-CCA. Furthermore, there are no consistent findingsregarding prediction of subsequent HL-CCA inpatients with hepatolithiasis. 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subjects Animals
Bile Duct Neoplasms - diagnosis
Bile Duct Neoplasms - epidemiology
Bile Duct Neoplasms - prevention & control
Biopsy
Cholangiocarcinoma
Cholangiocarcinoma - diagnosis
Cholangiocarcinoma - epidemiology
Cholangiocarcinoma - prevention & control
Cholelithiasis - diagnosis
Cholelithiasis - epidemiology
Cholelithiasis - therapy
Diagnosis, Differential
Diagnostic Imaging - methods
Hepatolithiasis
Humans
Incidence
Intrahepatic
Management
Minireviews
Predictive Value of Tests
Prevalence
Prognosis
Risk Factors
title Hepatolithiasis and intrahepatic cholangiocarcinoma:A review
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