Table 2. Applications of endoscopic ultrasonography in cholangitis.
Type of cholangitis | EUS approach | Number of patients | Specific diagnostic findings | Reference, year |
IAC | Transabdominal ultrasonography | 2 | Bile duct thickening | Kobori et al.,80 2016 |
PSC and IAC | IDUS | 15 patients with PSC and 35 patients with IAC | Irregular inner margin, diverticulum-like outpouching, disappearance of three layers are specific for PSC | Naitoh et al.,78 2015 |
AC | Radial EUS | 28 | Diffuse and/or concentric wall thickening (more than 1.5 mm), and intraductal heterogeneous echogenicity without acoustic shadowing are suggestive for AC | Alper et al.,77 2011 |
IAC | Transpapillary IDUS | 23 | Bile duct wall thickness more than 0.8 mm in regions of non-stricture is highly suggestive of IAC | Naitoh et al.,79 2009 |
AIDS-related sclerosing cholangitis | Simple | 50 | EUS findings are highly correlated with ERCP findings | Daly et al.,83 1996 |
Abbreviations: AC; acute cholangitis; AIDS, autoimmune deficiency syndrome; EUS, endoscopic ultrasonography; ERCP, endoscopic retrograde cholangiography; IAC, IgG4-associated cholangitis; IDUS, intraductal ultrasonography; PSC, primary sclerosing cholangitis.