Oct 4, 2019

Biliary stenting for hilar malignant biliary obstruction

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Tae Hoon LeeSang-Heum Park


Although endoscopic intervention is the mainstay for palliation of malignant biliary obstruction, a percutaneous approach has been preferred, particularly in patients with advanced high-grade hilar malignant biliary obstruction, because of the technical difficulty and risk of complications. However, recently primary endoscopic palliation using plastic or metal stents has had higher technical and clinical success with fewer adverse events rate than has the percutaneous approach. Endoscopic interventions are being done more and more frequently because of advances in metal stents, accessories, and techniques. However, several issues, such as the optimal stent type, number, and deployment method, remain to be resolved. Therefore, we reviewed the literature in order to identify the optimal biliary stenting strategy for patients with hilar malignant biliary obstruction, focusing on stent type (plastic vs. metal), number (unilateral [single] vs. bilateral [multiple]), and deployment method (stent-in-stent vs. stent-by-stent).

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Mentioned in this Paper

Stent, Device
Neuronal Plasticity
Adverse Event
Biliary Stent Implantation
Instrument, Surgical, Sonic AND Accessory/Attachment

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