Evidence-Based Decompression in Malignant Biliary Obstruction
Korean Journal of Radiology
;
: S56-S61, 2012.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Neoplasias dos Ductos Biliares
/
Doenças Biliares
/
Stents
/
Drenagem
/
Tumor de Klatskin
/
Colangiocarcinoma
/
Descompressão Cirúrgica
/
Medicina Baseada em Evidências
/
Icterícia Obstrutiva
/
Endoscopia
Tipo de estudo:
Ensaio Clínico Controlado
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Radiology
Ano de publicação:
2012
Tipo de documento:
Artigo
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