Contrast-free unilateral endoscopic palliation in malignant hilar biliary obstruction: new method

Journal of Gastroenterology and Hepatology
V SinghM Gulati

Abstract

Bilateral endoscopic drainage is difficult in malignant hilar biliary obstruction. Recently, unilateral drainage in malignant hilar biliary obstruction has been shown to be equally effective. However, contrast injection leads to cholangitis. There have been no reported studies on contrast-free metal stenting in malignant hilar biliary obstruction. The present study was undertaken to evaluate the results of contrast-free unilateral metal stenting in type II malignant hilar biliary obstruction. We prospectively studied the results of unilateral metal stenting in type II malignant hilar biliary obstruction without contrast injection in 18 patients. A successful endoscopic drainage was achieved in 100% (18/18) of patients with hilar strictures. Cholangitis and 30-day mortality occurred in none. Unilateral endoscopic metal stenting without contrast in type II malignant hilar biliary obstruction is a safe and effective method of palliation.

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Citations

Aug 27, 2009·Langenbeck's Archives of Surgery·Franco PiselloCarmelo Sciumè
Aug 21, 2008·Journal of Gastroenterology and Hepatology·Rungsun RerknimitrPinit Kullavanijaya
Feb 24, 2007·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·L CipollettaUNKNOWN Italian Evidence-Based Gastroenterology & Hepatology Club
Mar 16, 2007·Liver International : Official Journal of the International Association for the Study of the Liver·Virendra SinghSuresh C Sharma
May 3, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Akio KatanumaTakao Itoi
Nov 22, 2007·The American Journal of Gastroenterology·Alberto LarghiGuido Costamagna
Sep 19, 2014·World Journal of Hepatology·Mahesh Kr Goenka, Usha Goenka
Jan 25, 2012·Nature Reviews. Gastroenterology & Hepatology·Andrea ParodiMassimo Conio
Feb 14, 2012·Journal of Clinical Gastroenterology·Divyesh Sejpal
Feb 13, 2021·Journal of Personalized Medicine·Ivo BoškoskiGuido Costamagna

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