Endoscopic drainage in patients with inoperable hilar cholangiocarcinoma

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Endoscopic drainage in patients with inoperable hilar cholangiocarcinoma

Hilar cholangiocarcinoma has an extremely poor prognosis and is usually diagnosed at an advanced stage. Palliative management plays an important role in the treatment of patients with inoperable hilar cholangiocarcinoma. Surgical, percutaneous, and endoscopic biliary drainage are three modalities available to resolve obstructive jaundice. Plastic stents were widely used in the past; however, se...

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Endoscopic Biliary Drainage of Hilar Cholangiocarcinoma

Cholangiocarcinoma is an uncommon malignancy which arises from biliary epithelial cells, anywhere along intraand extrahepatic biliary tract and can be divided into three groups by involved anatomy: intrahepatic, perihilar, and distal extrahepatic cholangiocarcinoma. Cure can only be achieved by surgical resection. Because of initial diagnosis as advanced disease and recurrence despite surgery a...

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Optimal Endoscopic Palliation of Advanced Hilar Cholangiocarcinoma with Metal Stents

Endoscopic biliary stenting is a well-established palliative procedure for treating obstructive jaundice in patients with unresectable hilar cholangiocarcinoma. Plastic tube stents (PS) have been widely used for the procedure, but self-expandable metallic stents (SEMSs) are becoming increasingly popular because of the associated longer patency. However, there are several unanswered questions re...

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Major hepatic resection for hilar cholangiocarcinoma without preoperative biliary drainage.

Hilar cholangiocarcinoma is a rare cancer in western countries but very high incidence in the northeast of Thailand. The only chance to cure is surgical resection. Preoperative biliary drainage (PBD) for improving liver function to decrease perioperative morbidity and mortality is claimed to be beneficial. To determine whether liver resection with hilar resection is a safe procedure in obstruct...

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Background: Most cholangiocarcinoma patients present at an advanced stage of the disease. Palliative treatment options include PTBD and ERCP with biliary stenting. Although quality of life (QOL) is of importantce in terminal or advanced malignancy, a number of studies on palliative ERCP and biliary stenting focus mostly on stent patency and survival, with limited data on QOL outcomes. The prese...

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ژورنال

عنوان ژورنال: The Korean Journal of Internal Medicine

سال: 2013

ISSN: 1226-3303,2005-6648

DOI: 10.3904/kjim.2013.28.1.8