Evidence-Based Decompression in Malignant Biliary Obstruction
Korean Journal of Radiology
;
: S56-S61, 2012.
Article
in English
| WPRIM
| ID: wpr-23431
ABSTRACT
As recent advances in chemotherapy and surgical treatment have improved outcomes in patients with biliary cancers, the search for an optimal strategy for relief of their obstructive jaundice has become even more important. Without satisfactory relief of biliary obstruction, many patients would be ineligible for treatment. We review all prospective randomized trials and recent retrospective non-randomized studies for evidence that would support such a strategy. For distal malignant biliary obstruction, an optimal strategy would be insertion of metallic stents either endoscopically or percutaneously. Evidence shows that a metallic stent inserted percutaneously has better outcomes than plastic stents inserted endoscopically. For malignant hilar obstruction, percutaneous biliary drainage with or without metallic stents is preferred.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bile Duct Neoplasms
/
Biliary Tract Diseases
/
Stents
/
Drainage
/
Klatskin Tumor
/
Cholangiocarcinoma
/
Decompression, Surgical
/
Evidence-Based Medicine
/
Jaundice, Obstructive
/
Endoscopy
Type of study:
Controlled clinical trial
Limits:
Humans
Language:
English
Journal:
Korean Journal of Radiology
Year:
2012
Type:
Article
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