Evidence-based decompression in malignant biliary obstruction.

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Chia Sing Ho, Andrew Warkentin

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.

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Citations

Mar 17, 2016·Gastroenterology Research and Practice·Leonardo Zorrón Cheng Tao PuEduardo Guimarães Hourneaux de Moura
Oct 4, 2015·Gastrointestinal Endoscopy Clinics of North America·Majid A AlmadiAlan N Barkun
Jul 22, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Xiang-qian ZhaoWen-zhi Zhang
Apr 22, 2017·Radiologia brasileira·Charles Edouard ZurstrassenRubens Chojniak
Sep 18, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Hyun Pyo HongSeung Kwon Kim
Mar 10, 2018·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Dong Il GwonKyu-Bo Sung
Apr 20, 2013·Experimental and Therapeutic Medicine·Guangshao CaoZhenyu Wang
Aug 1, 2015·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Martín Alejandro GuidiRaúl Fernando Matanó
Dec 29, 2020·Brachytherapy·Michael R FolkertRanjan Kumar Sur

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Methods Mentioned

BETA
surgical resection

Software Mentioned

EBD

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