Management of malignant biliary obstruction

Techniques in Vascular and Interventional Radiology
Karen T Brown, Anne M Covey

Abstract

Malignant bile duct obstruction is not uncommon, particularly in the later stages of disease, and may result in significant deterioration in the patient's quality of life, particularly if the patient becomes pruritic. Patients who have undergone previous intervention such as surgery with bilioenteric bypass, sphincterotomy, or endoscopic retrograde cholangiopancreatography may present with cholangitis. In addition, obstructive jaundice may preclude the use of certain chemotherapeutic agents either because of increased toxicity or because they require hepatic metabolism or excretion. This article discusses the indications for drainage in this patient population, technical considerations that may be unique to this patient population, and technical suggestions for performing drainage that may be helpful.

References

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Citations

May 21, 2013·Current Problems in Diagnostic Radiology·Matthew J KogutPuneet Bhargava
Apr 3, 2012·Journal of Pain and Symptom Management·Sydney M DyRobert L Jayes
Oct 27, 2009·Techniques in Vascular and Interventional Radiology·Benjamin J Pomerantz
Jul 23, 2014·Yonsei Medical Journal·Semi ParkSeungmin Bang
Aug 27, 2009·Langenbeck's Archives of Surgery·Franco PiselloCarmelo Sciumè
Sep 10, 2011·Cardiovascular and Interventional Radiology·Haipeng YuBaoguo Li
Nov 24, 2019·Abdominal Radiology·Ajaykumar C MoraniKhaled M Elsayes
Apr 20, 2013·Experimental and Therapeutic Medicine·Guangshao CaoZhenyu Wang
Mar 27, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Shin AhnJae-Lyun Lee
Apr 5, 2013·World Journal of Hepatology·Dimitrios KarnabatidisDimitrios Siablis
Aug 27, 2019·The Surgical Clinics of North America·Jay A Requarth

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