Palliative endoscopic drainage of malignant stenosis of biliary confluence: Efficiency of multiple drainage approach to drain a maximum of liver segments

United European Gastroenterology Journal
Fabrice CaillolMarc Giovannini

Abstract

More than 50% of the liver should be drained in case of unresectable hilar liver stenosis; however, it remains unclear if the use of several types of drainage (endoscopic retrograde cholangiography and pancreatography, percutaneous-biliary drainage, endoscopic ultrasound biliary drainage (EUS-BD)), allowing better drainage, has an impact on survival. The aim of our study was to evaluate the percentage of liver drained and its correlation on survival whatever the drainage technique used. This study was a retrospective analysis of a prospective registry of patients with malignant drainage stenosis of the hilum. The quality of drainage was evaluated based on the percentage of liver segments drained, which was calculated by dividing the number of liver segments drained by the total number of liver segments. Drainage could be achieved via an endoscopic, EUS-guided or percutaneous route not associated with the procedure. Sixty patients (38 men) were included from January 2015 to July 2016. The mean patient age was 69.84 years. Stenosis was classified as type II for 17 (29%) patients, type III for 20 (34%) patients, and type IV for 22 (37%) patients. Histology revealed cholangiocarcinoma for 26 (43%) patients, metastatic disease from ...Continue Reading

References

Aug 1, 2007·World Journal of Gastroenterology : WJG·Sang Hyub LeeYong-Tae Kim
Jul 1, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sundeep Singh SalujaTushar K Chattopadhyay
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Jan 5, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hirotoshi IwanoIsao Sakaida
Feb 3, 2012·Endoscopy·J-M DumonceauUNKNOWN European Society of Gastrointestinal Endoscopy
Jan 29, 2013·Journal of Gastroenterology and Hepatology·Rungsun RerknimitrUNKNOWN Asia-Pacific Working Group on Hepatobiliary Cancers

❮ Previous
Next ❯

Citations

Jan 4, 2020·Endoscopic Ultrasound·Fabrice CaillolMarc Giovannini
Mar 28, 2020·United European Gastroenterology Journal
Jan 7, 2021·Endoscopic Ultrasound·Jérôme WinklerMarc Giovannini
May 2, 2021·European Journal of Internal Medicine·Janine B KastelijnFrank P Vleggaar
Jun 18, 2021·Endoscopic Ultrasound·Sridhar Sundaram, Vinay Dhir

❮ Previous
Next ❯

Software Mentioned

SAS®

Related Concepts

Related Feeds

Cancer Incidence & Mortality

Cancer has emerged as a global concern due to its increase in incidence and mortality. Efforts are underway to evaluate and develop action plans to reduce the global burden of cancer. Currently, lung cancer, breast cancer and prostate cancer are the leading causes of cancer mortality. Here is the latest research on cancer incidence and mortality.

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.