scholarly journals 296P Outcomes of repeat transhepatic percutaneous biliary drainage in patients presenting with recurrent malignant biliary stricture

2020 ◽  
Vol 31 ◽  
pp. S1357
Author(s):  
D. Hanji ◽  
J. Gilbert ◽  
S. Sothi ◽  
M. Scott-Brown
Keyword(s):  
Biliary Drainage ◽  
Biliary Stricture ◽  
Percutaneous Biliary Drainage ◽  
Malignant Biliary Stricture

scholarly journals Current Endoscopic Management of Malignant Biliary Stricture

Medicina ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 114
Author(s):  
Chi-Chih Wang ◽  
Tzu-Wei Yang ◽  
Wen-Wei Sung ◽  
Ming-Chang Tsai
Keyword(s):  
Biliary Drainage ◽  
Biliary Obstruction ◽  
Biliary Stricture ◽  
Plastic Stents ◽  
Endoscopic Management ◽  
Metal Stents ◽  
Endoscopic Stenting ◽  
Endoscopic Biliary Drainage ◽  
Stent Patency ◽  
Malignant Biliary Stricture

Biliary and pancreatic cancers occur silently in the initial stage and become unresectable within a short time. When these diseases become symptomatic, biliary obstruction, either with or without infection, occurs frequently due to the anatomy associated with these cancers. The endoscopic management of these patients has changed, both with time and with improvements in medical devices. In this review, we present updated and integrated concepts for the endoscopic management of malignant biliary stricture. Endoscopic biliary drainage had been indicated in malignant biliary obstruction, but the concept of endoscopic management has changed with time. Although routine endoscopic stenting should not be performed in resectable malignant distal biliary obstruction (MDBO) patients, endoscopic biliary drainage is the treatment of choice for palliation in unresectable MDBO patients. Self-expanding metal stents (SEMS) have better stent patency and lower costs compared with plastic stents (PS). For malignant hilum obstruction, PS and uncovered SEMS yield similar short-term outcomes, while a covered stent is not usually used due to a potential unintentional obstruction of contralateral ducts.

158 COMPLICATIONS OF PERCUTANEOUS BILIARY DRAINAGE

1985 ◽  
Vol 20 (6) ◽  
pp. S40
Author(s):  
R H Cohan ◽  
F F Illescas ◽  
G E Degesys ◽  
S D Braun ◽  
G E Newman ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Percutaneous Biliary Drainage

Percutaneous Biliary Drainage in Neoplastic Jaundice

1985 ◽  
Vol 26 (6) ◽  
pp. 681-688 ◽  
Author(s):  
R. Passariello ◽  
P. Pavone ◽  
P. Rossi ◽  
G. Simonetti ◽  
C. Modini ◽  
...  
Keyword(s):  
Clinical Data ◽  
Biliary Drainage ◽  
Technical Information ◽  
Clinical Results ◽  
Palliative Surgery ◽  
Analysis Program ◽  
Technical Success ◽  
Percutaneous Biliary Drainage ◽  
Computerized Analysis ◽  
Significant Data

Technical and clinical data concerning 731 controlled patients submitted to nonsurgical percutaneous biliary drainage (PBD) for preoperative or palliative purposes were collected from eight institutions. Using a computerized analysis program, general and special statistics were obtained, with special attention given to 536 neoplastic cases. Technical success, type, level and nature of the lesions, purpose of drainage, surgery performed, complications, and other clinical and technical information were considered and compared with the clinical results. Statistically significant data were obtained comparing, respectively, bilirubin levels with duration of drainage, survival with type of treatment (PBD alone or followed by radical or palliative surgery), operative with post PBD mortality, survival with type of PBD (external catheter, internal catheter, and endoprosthesis), and complications with type of PBD used.

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