Abstract
Endoscopic stenting has revolutionized the palliation of malignant biliary obstruction. Individuals with biliary obstruction due to pancreatic malignancy are best managed by a team approach comprising individuals with expertise in oncology, surgery, endoscopy, and radiology. The clinical value of alleviating jaundice and associated symptoms of anorexia, pruritus, and malaise cannot be overestimated. These quality-of-life factors deserve more attention in future studies to define subgroups of patients most likely to derive benefit from the array of treatment options. Further technical improvements are required to solve the most important clinical problem of late stent occlusion. New developments such as expandable metallic stents and refinements in existing equipment and techniques have already resulted in measurable gains and hold great promise for future expansion of their use in malignant gastric outlet obstruction secondary to tumor infiltration of the duodenum. Corresponding advances are being made in the fields of percutaneous transhepatic intervention and hepatobiliary surgery such that further prospective randomized trials are necessary to define optimal therapy.
Citations
Sep 26, 2001·BMC Gastroenterology·B G FoshG J Maddern
Sep 14, 2006·The American Journal of Gastroenterology·Everson L A ArtifonGottumukkala S Raju
Apr 7, 2007·Current Opinion in Gastroenterology·Erik-Jan Wamsteker
Sep 14, 2007·Expert Review of Medical Devices·Marjolein Y V Homs, Peter D Siersema
Jan 18, 2017·Journal of Gastrointestinal Cancer·Pimsiri SripongpunBancha Ovartlarnporn
Mar 10, 2000·The American Journal of Gastroenterology·R A Enns
Sep 24, 1999·Annals of Surgery·K D LillemoeC J Yeo
Jan 19, 2005·World Journal of Gastroenterology : WJG·Yueh-Hung LinShou-Dong Lee
May 11, 2002·The American Journal of Gastroenterology·Miguel R ArguedasC Mel Wilcox
Aug 10, 2006·Surgical Endoscopy·P KatsinelosB Papaziogas
May 20, 2009·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·M HidalgoE Díaz-Rubio
Aug 6, 2017·Surgical Endoscopy·Ka Wing MaChung Mau Lo
Sep 15, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alexander V FisherDaniel E Abbott
Oct 26, 2002·Current Problems in Cancer·Theresa Pluth YeoCharles J Yeo
May 30, 2007·Gastroenterology Clinics of North America·Michael SandersAdam Slivka