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논문 기본 정보

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학술저널
저자정보
Cho Eunae (Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea) Kim Seong-Hun (Division of Gastroenterology, Department of Internal Medicine, Jeonbuk National University Medical School and Research Institute of Clinical Medicine of Jeonbuk National University-Biomedica) Choi Seong Ji (Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.) Jung Min Kyu (Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea) Song Byeong Jun (Division of Gastroenterology, Department of Internal Medicine, Myongji Hospital, Goyang, Korea) Park Jin Myung (Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea) Kang Jingu (Department of Gastroenterology, Kangdong Sacred Heart Hospital, Seoul, Korea) Park Won Suk (Department of Internal Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea) Park Joo Kyung (Division of gastroenterology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea) Woo Sang Myung (Research Institute, Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, Korea) Kim Hyo Jung (Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver Vol.18 No.1
발행연도
2024.1
수록면
174 - 183 (10page)
DOI
10.5009/gnl220413

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Background/Aims: Based on their anatomy, cholangiocarcinomas (CCAs) are classified into intrahepatic, hilar, and distal CCAs. Although the diagnosis and treatment of each type of CCA are thought to be different, real-world data studies on the current practice are limited. Therefore, this study was designed to capture the current practice of diagnosing and treating perihilar CCA in Korea. Methods: We conducted a survey using an online platform. The questionnaire consisted of 18 questions designed to evaluate the current practice of diagnosing and treating perihilar CCA in Korea. The targets of this survey were biliary endoscopists who are members of the Korean Pancreatobiliary Association. Results: In total, 119 biliary endoscopists completed the survey. Of the respondents, 89.9% thought that the use of the International Classification of Diseases, 11th Revision (ICD-11) system is necessary to classify CCA. Approximately half of the respondents would recommend surgery or chemotherapy until patients were 80 years of age. For the pathological diagnosis of CCA, endoscopic retrograde cholangiopancreatography with biopsy was the most preferred modality. Routine preoperative biliary drainage was performed by 44.5% of the respondents. For operable CCAs, 64.7% of the respondents preferred endoscopic biliary drainage using plastic stents. For palliative biliary drainage, 69.7% of the respondents used plastic stents. For palliative endoscopic biliary drainage using metal stents, 63% of the respondents preferred the stent-in-stent method. Conclusions: A new coding system using the ICD-11 is needed for classifying CCAs. Guidelines for diagnosing and treating CCA based on the clinical situation in Korea are needed.
#Cholangiocarcinoma #Diagnosis #Treatment #Surveys and questionnaires

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