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6903,7058,7078,7095,7111,7237,7331,7422,7441,7455,7618,7640,7701,7720,7729,7915,7976,8151,8195,8243,8292,8536,8564,8608,8691,8729,8871,8937,8986,9138,9182,9204,9230,9349,9419,9478,9496],"not":[124,796,1378,2022,2060,2088,2439,2735,2805,3076,3301,3377,3945,3955,4286,4766,4778,4978,5105,5299,5539,5831,6099,6259,6487,6539,6625,6629,7001,7238,7562,7593,7871,8042,8053,8692,8987,9414,9487,9606],"initially":[125],"detected.":[126],"Colon":[127,9072],"cancer":[128,617,1948,4382,4384,7974,8199,8720,8723,9073],"surveillance":[129,7739,7775,7788,7822,7849,7858,7874,7921,8940,8967,9066,9084,9089,9150,9185,9233],"begin":[131,9187],"at":[132,571,771,950,972,984,1031,1839,2250,2393,3085,3107,3350,3523,3888,4027,4065,4113,4133,4463,4533,4612,4620,4656,4808,4819,5809,5858,6205,6532,6825,7054,7499,8132,8331,8625,9036,9161,9167,9188,9239,9246],"age":[133,971,3522,3536,3559,3719,4532,4655,4674,6155,8997,9178,9189,9240],"15":[134,5995,9179,9190,9241],"IBD.":[141,1548,3340,3504],"New":[142],"clinical":[143,180,629,850,1801,2011,2147,2263,2717,2801,3125,3779,3903,4773,4842,4847,4991,5079,5138,5178,5261,5274,5343,5470,5562,5595,5649,5740,5780,5896,5928,6265,6346,6372,6402,6417,6751,7036,7052,7074,7254,7588,7598,7777,9426,9465],"risk":[144,151,611,1428,3164,3571,3598,4137,4172,4194,4217,4233,4297,4319,4356,4361,4413,4499,4545,4661,4679,4696,4709,4844,5077,5183,5467,5551,5565,5578,5607,5765,5778,5801,6089,6121,6130,6214,6597,6617,6981,7275,7756,7797,7952,8818,8902],"tools":[145,4748,5547,6215],"are":[148,697,889,1028,1390,1585,2019,2067,2449,2471,2506,3146,3453,3528,3565,3609,3659,3675,3701,3744,3756,3994,4057,4115,4404,4777,5011,5434,5538,5590,5616,5853,5890,6376,6746,6782,6796,7107,7256,7497,8352,8704,8773,9076,9399],"available":[149,797,5301,5543,7239],"stratification,":[152],"but":[153,359,542,980,1012,1397,2021,2145,2803,3381,3434,3462,4034,4424,4580,4725,4739,5109,5536,5887,6222,6332,6504,6906,6995,7236,7985,8122,8142,9136,9351,9418],"probabilities":[154,5653,5814,6224],"events":[156,4848,5596,5655,5816,6226],"individual":[158,5663,5844,6234,9571],"interpreted":[162,5658,5824,6229],"caution":[164,5660,6231],"4":[166],"Table":[168,665],"3).":[169],"All":[170,7578],"considered":[176,189,576,1537,1669,1831,2869,3106,3227,3260,3349,6218,6821,7307,7389,7584,7611,8244,8314,9025,9326,9452],"participation":[178,7586],"trials;":[181],"however,":[182,2003,6105,6558,7252,7929],"ursodeoxycholic":[183],"acid":[184,6426,6428,6466,7182],"(13\u201323":[185],"mg/kg/day)":[186,6495,6521,6578,6803,6807],"can":[187,391,569,598,982,1916,1930,2171,2303,2892,3374,3679,4161,4270,4793,4806,5626,5798,5807,6216,6763,6819,6830,7338,7609,7830,8156],"continued":[191,6832,7615],"well":[193,5377,5464,8338,8693,9338],"tolerated":[194,6836],"meaningful":[197,804,6656,6841,7620],"improvement":[198,6498,6506,6851,6947],"alkaline":[200,2039],"phosphatase":[201,2040],"(\u03b3\u2010glutamyl":[202],"transferase":[203,2044],"children)":[205,6849,7628],"12":[209,5271,6502,6855,6951,7145,7179,7633],"months":[210,3825,6503,6772,6856,7634,8870,8891],"treatment.":[212,6858,7636],"ERCP":[213,425,2311,2322,3270,4009,5486,5499,5519,7692,8128,8333,8452,8499,8515,8556,8580,8622,9016,9275,9312,9329,9348,9373,9396,9458],"brushings":[216,8463,8624],"cytology":[218,8164,8491,8505,8521,8534,8562,8570,8587,8607,8615,8649,9008,9445],"fluorescent":[220],"situ":[222,8170],"hybridization":[223,8171],"analysis":[224,755,8173,9448],"obtained":[227,3192,4949,5555,5675],"all":[229,772,1539,3281,4028,4738,5206,5835,7791,8241,8765],"suspected":[232,1605,1795,2196,3176,3216],"perihilar":[233,273],"distal":[235],"CCA.":[236,690,2270,8539,8597,8652,9307,9484],"There":[237,1132,1970,2271,7927,8772],"new":[240,657,819,3331],"United":[241,933,940,7242],"Network":[242],"Organ":[244],"Sharing":[245],"policy":[246],"regarding":[247,6384,7771],"standardization":[248],"Model":[250,5909],"End\u2010Stage":[252,5911,5917,6172],"Liver":[253,263,674,2865,4870,4917,4994,4996,5217,5912,5918,6173,6256],"Disease":[254,5913,5919,6174],"exceptions":[255],"recurrent":[261,7377],"cholangitis.":[262,1927,3295],"transplantation":[264,3418],"following":[265,8822,9372],"neoadjuvant":[266],"therapy":[267,625,1374,9259,9403],"recommended":[269,2249,4979,6260,6308,6626,6639,8988],"CCA":[274,3465,3553,4159,4160,4196,4219,4235,4269,4284,4300,4304,4803,7734,7799,7848,7889,7920,8141,8150,8155,8207,8289,8356,8413,8708,8963],"<":[275,2169,3697,3753,4440,4469,6043,6051,6059,6673,6699,7879,8769],"3":[276,4550,5925,8071,8501,8558],"cm":[277],"radial":[279],"diameter":[280,428,2697],"that":[281,348,390,906,1102,1169,1387,1584,2343,2382,2799,2891,3373,3878,3891,4956,5568,6655,6779,7230,7267,7913,8074,8311,8448,8840,9265],"unresectable":[283],"arising":[285],"setting":[288,1546,2378,2971,8365,8392],"absence":[294,1571,1823,4150,7502,9503],"intrahepatic":[296,323,1738,2430,2497,2598,3201,4100,5414,5481,5508,7466],"extrahepatic":[298,325,3203,5483,5510,5961],"metastasis":[299,1739],"TABLE":[302,1686,5924],"1":[303,3262],"-":[304,1688,5926],"Definitions":[305],"Chronic,":[309],"cholestatic":[310,353,590,1301,1677,2030,2936],"liver":[311,549,591,595,840,1080,1762,1811,1852,1861,2035,2544,2564,2576,2633,2667,2681,2685,2860,3223,3253,3298,3394,3410,3417,3458,3493,3594,3800,3822,4292,4771,4953,4975,5017,5677,5906,6034,6508,6720,6993,7432,7451,8898,8913,9291],"likely":[313,2110,3480,3510,5618],"autoimmune":[315,558,578],"origin":[316],"characterized":[317,350,501,537],"by":[318,351,502,538,699,740,765,948,1290,1814,1933,2559,2713,2779,2785,3379,3383,3641,4923,4960,5002,5030,5053,5068,5107,5111,5191,5197,5682,5818,5994,6002,6010,6019,6036,6185,6239,6501,7176,7723,7973,8066,8163,8846,8866,8977,9560],"inflammation":[319,1304,4690],"fibrosis":[321,1302,1321,1761,2525,2885,2908,3766,3788,3796,3828,3852,4800,4822,4832,4873,4909,4939,4983,5018,5034,5092,5097,5108,5213,5327,5339,5473,5588,6200,6251,6262],"bile":[326,333,362,435,460,473,1324,1348,1351,1359,2409,2415,2431,2485,2704,2764,2832,2917,3936,3969,3991,4016,4039,4152,6442,6450,6465,7477],"ducts,":[327,1349],"leading":[328,1509,7289],"to":[329,387,403,682,780,798,808,814,872,931,945,953,977,995,1059,1067,1123,1125,1165,1225,1252,1276,1284,1311,1380,1462,1483,1510,1682,1866,1908,2009,2118,2139,2227,2259,2267,2275,2349,2441,2454,2795,2823,2825,2862,2924,3051,3091,3148,3193,3228,3241,3292,3414,3422,3441,3467,3482,3555,3567,3577,3611,3712,3770,3865,4015,4061,4084,4099,4103,4212,4245,4392,4445,4509,4518,4548,4573,4591,4642,4651,4693,4719,4755,4780,4896,4935,5099,5127,5269,5333,5365,5384,5502,5593,5619,5630,5727,5732,5838,6081,6287,6329,6338,6366,6378,6381,6406,6421,6529,6585,6672,6754,6774,6777,6799,6950,7009,7039,7061,7290,7348,7370,7375,7390,7409,7448,7513,7571,7643,7669,7686,7705,7710,7765,7790,7814,7816,7832,7843,7867,7901,7917,7932,8029,8047,8179,8277,8294,8681,8710,8781,8807,8882,8918,8929,8952,8957,9088,9124,9133,9163,9248,9251,9262,9270,9328,9330,9391,9488,9546,9582,9587],"formation":[331],"strictures,":[335,661,826,1820,3401],"frequently":[337,414,512,587,2057,3012,4629],"Small\u2010duct":[341,1576,3582],"Less":[343,1152],"variant":[345],"typical":[352,1586,3307],"features":[356,370,378,545,556,1639,1658,2446,2903,2915,2945,2962,3197,5421],"normal":[361,540,1596,2078,2434,2501,3207,3716],"on":[364,424,450,529,548,751,759,784,829,1199,1401,1420,1553,1556,1581,1919,2202,2546,2727,2771,3310,3798,3861,4049,4124,4865,5289,5354,5475,5485,5505,5668,5892,6637,7372,7776,8081,8759,8776,9079,9143,9401,9424,9463,9476,9483,9569],"cholangiography":[365,1083,1557],"PSC\u2013AIH":[366],"overlap":[367,1063,1666,2086,2878,2977,3564,6166,7300],"Concurrent":[368],"clinical,":[374,1635],"biochemical,":[375,1636],"AIH":[380,1641,1673,3318,5318,7317,7664,7672],"Secondary":[381],"Biliary":[384,400,4019],"strictures":[385,401,528,1555,2428,2498,2528,2596,2769,3204,4020,4024,4035,4056,4109,4790,4930,8427],"due":[386,402,2266,3481,3711,5126,5837,6380,6584,7764,8806],"identifiable":[388],"causes":[389,1826,1962,4349],"result":[392,8535,8563],"secondary":[394,1563,1691,1825],"cirrhosis":[396,3380,3407,3595,4353,5040,7440,7527,7567,8936,8950,8955,9062],"IgG4":[397,412,2135,2152,2178,3287,7302,7324],"elevated":[404,1947,2034,2054,4332,6817,7133,7602,8038,8094,8325],"IgG4\u2010positive":[405],"plasma":[406],"cells":[407,1231,1257,1265,1293,1487,8219],"tissue":[409,2337,5238,9005,9429],"serum":[411,1810,2093,2134,2177,3286,5226,5755,7980,8982,9290,9294],"elevation":[413],"pancreatic":[417],"involvement":[418],"Dominant":[419,4055],"A":[421,447,551,651,1180,2029,2284,2433,2759,3255,3297,3931,4535,4943,6566,6958,7073,7557,7999,8248,8831],"\u22641.5":[430,2699],"mm":[431,440,2700,2708,4442,4471,8799,8845,8865,9047],"\u22641":[439,2707],"High\u2010grade":[445,4108],">75%":[455],"reduction":[456,2781,6544,6669,6679,6693,6737,6842,6977,7141,7621],"Relevant":[465],"Any":[467],"INTRODUCTION":[489],"AND":[490],"SCOPE":[491,5940],"OF":[492,858,1117,1532,3362,6268],"GUIDANCE":[493],"Primary":[494],"cholangiopathy":[500,1696,1707,1754,1776],"chronic":[503,2935,3977,5372,7450],"fibroinflammatory":[504],"damage":[505],"tree":[509,8348],"(IBD).":[518],"The":[519,777,868,1320,1408,1549,1816,2730,2941,3124,3921,4294,4335,4412,4474,4498,4708,4749,4881,5134,5215,5409,5689,5769,5861,6632,6899,7082,7434,8104,8430,8468,8486,8540,8598,8793,9408,9523,9544],"majority":[520,869],"have":[525,534,554,865,874,904,1040,1089,1149,1183,1222,1272,1312,1398,1798,2087,2126,2341,2854,2987,3052,3077,3161,3391,3460,3538,3568,3885,4045,4104,4592,4630,4783,5042,5569,5585,5679,5761,5904,6326,6364,6496,6653,6660,6888,6908,6989,7246,7405,7546,7840,8043,9121],"fibrotic":[526],"cholangiogram,":[530],"whereas":[531,2165,2913,8013],"minority":[533],"small\u2010duct":[535,1606,1868,2875,2954,3231,3607,3619,3636,4316,5722,5987,6163,6180,7808,9000],"PSC,":[536,627,1646,2144,2361,2538,2973,3071,3177,3199,3285,3486,4702,4733,5118,5379,6281,7529,7851,7893,8383,9100],"cholangiogram":[541,1597],"biopsy.":[550,1853,3254],"small":[552,4438,6912],"percentage":[553],"overlapping":[555,1657,2063],"hepatitis":[559,2968,5373,7556,7559],"(PSC\u2010AIH).":[560],"affects":[562],"both":[563,4704],"male":[564,1020,4322],"female":[566,3526],"individuals":[567,8064],"occur":[570,983,2056,3116,3982,4026,4162,4794,4807,5808,7355,7471],"age.":[573,4303],"an":[577,743,827,1178,1185,1192,1436,1442,1840,2112,2166,2242,2380,2394,2887,2976,3162,3235,3242,3448,3626,5056,6595,6615,6946,7132,7184,7291,7380,7406,7702,8037,8093,8186,8451,8919,9037,9267,9517,9593],"disease,":[579,1941,2493,5717,5907,6393,7425],"though":[580,5380,5789,7453,8764],"pathophysiology":[582],"remains":[583,2363,2789,3267,3631,3929,5144,5403,8804],"poorly":[584,5522],"understood.":[585],"results":[588,723,3843,7249,8297,8477],"damage,":[592]},"counts_by_year":[{"year":2026,"cited_by_count":172},{"year":2025,"cited_by_count":109},{"year":2024,"cited_by_count":90},{"year":2023,"cited_by_count":61},{"year":2022,"cited_by_count":2}],"updated_date":"2026-10-24T09:50:30.924529","created_date":"2025-10-10T00:00:00"}
