Prevention and management of immune-related adverse events for biliary tract cancers

Immune checkpoint inhibitors (ICIs) combined with chemotherapy has become the first-line standard treatment for advanced biliary tract cancers (BTC). However, the application of ICIs comes with its risks of immune-related adverse events (irAEs). BTC patients often face greater challenges in the diag...

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Main Author: LIU Kun, GUO Wei
Format: Article
Language:zho
Published: Editorial Office of Journal of Surgery Concepts & Practice 2025-03-01
Series:Waike lilun yu shijian
Subjects:
Online Access:https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1751876439817-1105793041.pdf
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author LIU Kun, GUO Wei
author_facet LIU Kun, GUO Wei
author_sort LIU Kun, GUO Wei
collection DOAJ
description Immune checkpoint inhibitors (ICIs) combined with chemotherapy has become the first-line standard treatment for advanced biliary tract cancers (BTC). However, the application of ICIs comes with its risks of immune-related adverse events (irAEs). BTC patients often face greater challenges in the diagnosis and management of irAEs, especially in the differential diagnosis of immune related hepatitis, due to the presence of special conditions such as underlying liver dysfunction and biliary obstruction. We aimed to systematically review the current status of BTC immunotherapy, the spectrum of irAEs, clinical characteristics, prevention strategies, and management principles. We focused to investigate the specificity and response measures of irAEs management in BTC patients, optimizing immunotherapy management for BTC patients, maximizing treatment benefits and ensuring patient safety, and exploring the future research directions.
format Article
id doaj-art-c2e21c1f3283460eb5a0f8cbf38fde84
institution Kabale University
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language zho
publishDate 2025-03-01
publisher Editorial Office of Journal of Surgery Concepts & Practice
record_format Article
series Waike lilun yu shijian
spelling doaj-art-c2e21c1f3283460eb5a0f8cbf38fde842025-08-20T03:28:21ZzhoEditorial Office of Journal of Surgery Concepts & PracticeWaike lilun yu shijian1007-96102025-03-0130211211910.16139/j.1007-9610.2025.02.04Prevention and management of immune-related adverse events for biliary tract cancersLIU Kun, GUO Wei0Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaImmune checkpoint inhibitors (ICIs) combined with chemotherapy has become the first-line standard treatment for advanced biliary tract cancers (BTC). However, the application of ICIs comes with its risks of immune-related adverse events (irAEs). BTC patients often face greater challenges in the diagnosis and management of irAEs, especially in the differential diagnosis of immune related hepatitis, due to the presence of special conditions such as underlying liver dysfunction and biliary obstruction. We aimed to systematically review the current status of BTC immunotherapy, the spectrum of irAEs, clinical characteristics, prevention strategies, and management principles. We focused to investigate the specificity and response measures of irAEs management in BTC patients, optimizing immunotherapy management for BTC patients, maximizing treatment benefits and ensuring patient safety, and exploring the future research directions.https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1751876439817-1105793041.pdf|biliary tract cancer(btc)|immunotherapy|immune checkpoint inhibitor(ici)|immune-related adverse event(irae)
spellingShingle LIU Kun, GUO Wei
Prevention and management of immune-related adverse events for biliary tract cancers
Waike lilun yu shijian
|biliary tract cancer(btc)|immunotherapy|immune checkpoint inhibitor(ici)|immune-related adverse event(irae)
title Prevention and management of immune-related adverse events for biliary tract cancers
title_full Prevention and management of immune-related adverse events for biliary tract cancers
title_fullStr Prevention and management of immune-related adverse events for biliary tract cancers
title_full_unstemmed Prevention and management of immune-related adverse events for biliary tract cancers
title_short Prevention and management of immune-related adverse events for biliary tract cancers
title_sort prevention and management of immune related adverse events for biliary tract cancers
topic |biliary tract cancer(btc)|immunotherapy|immune checkpoint inhibitor(ici)|immune-related adverse event(irae)
url https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1751876439817-1105793041.pdf
work_keys_str_mv AT liukunguowei preventionandmanagementofimmunerelatedadverseeventsforbiliarytractcancers