Decompression of malignant biliary obstruction by duodenoscopic intubation of bile duct.

Evidence-Based Decompression in Malignant Biliary Obstruction

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-...

Percutaneous Biliary Stent Placement in Palliation of Malignant Bile Duct Obstruction

BACKGROUND To summarize the experiences with the technique of percutaneous biliary stent placement for treatment of malignant biliary obstruction in patients with different types of biliary obstruction. METHODS Percutaneous biliary stent placement was performed in 126 patients with malignant biliary obstruction. The etiology included 56 cases of cholangiocarcinoma, 28 cases of pancreatic canc...

Endoscopic ultrasound-guided biliary drainage in malignant distal obstruction of the common bile duct.

Management of Bile Duct Problems Treatment Overview Bile Duct Obstruction

White Bile in Malignant Biliary Obstruction: A Poor Prognostic Marker

A 71-year-old man presented with progressively worsening painless jaundice. Laboratory findings were significant for severe cholestasis (serum total bilirubin, 24 mg/dL; direct bilirubin, 22 mg/dL). Computed tomography of the abdomen revealed a 4-cm mass in the head of the pancreas with marked extraand intra-hepatic biliary dilatation (Fig. 1A). Diffuse hepatic metastases and extensive metastat...