Endoscopic drainage in patients with inoperable hilar cholangiocarcinoma
The Korean Journal of Internal Medicine
;
: 8-18, 2013.
Article
Dans Anglais
| WPRIM
| ID: wpr-108750
ABSTRACT
Hilar cholangiocarcinoma has an extremely poor prognosis and is usually diagnosed at an advanced stage. Palliative management plays an important role in the treatment of patients with inoperable hilar cholangiocarcinoma. Surgical, percutaneous, and endoscopic biliary drainage are three modalities available to resolve obstructive jaundice. Plastic stents were widely used in the past; however, self-expanding metal stents (SEMS) have become popular recently due to their long patency and reduced risk of side branch obstruction, and SEMS are now the accepted treatment of choice for hilar cholangiocarcinoma. Bilateral drainage provides more normal and physiological biliary flow through the biliary ductal system than that of unilateral drainage. Unilateral drainage was preferred until recently because of its technical simplicity. But, with advancements in technology, bilateral drainage now achieves a high success rate and is the preferred treatment modality in many centers. However, the choice of unilateral or bilateral drainage is still controversial, and more studies are needed. This review focuses on the endoscopic method and discusses stent materials and types of procedures for patients with a hilar cholangiocarcinoma.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Conception de prothèse
/
Tumeurs des canaux biliaires
/
Conduits biliaires intrahépatiques
/
Endoprothèses
/
Drainage
/
Cholangiopancréatographie rétrograde endoscopique
/
Résultat thérapeutique
/
Cholangiocarcinome
/
Endoscopie
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
The Korean Journal of Internal Medicine
Année:
2013
Type:
Article
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