Bilateral Metallic Stenting in Malignant Hilar Obstruction

被引：28
作者：
Lee, Tae Hoon [1 ]
Moon, Jong Ho [1 ]
Park, Sang-Heum [1 ]
机构：
[1] Soonchunhyang Univ, Soonchunhyang Univ Cheonan Hosp, Coll Med, Dept Internal Med,Div Gastroenterol, 31 Suncheonhyang 6 Gil, Cheonan 330930, South Korea
来源：
CLINICAL ENDOSCOPY | 2014年 / 47卷 / 05期
关键词：
Hilar cholangiocarcinoma; Metal stents; Bilateral drainage;
D O I：
10.5946/ce.2014.47.5.440
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Endoscopic palliative biliary drainage is considered as a gold standard treatment in advanced or inoperable hilar cholangiocarcinoma. Also, metal stents are preferred over plastic stents in patients with > 3 months life expectancy. However, the endoscopic intervention of advanced hilar obstruction is often more challenging and complex than that of distal malignant biliary obstructions. In this literature review, we describe the issues commonly encountered during endoscopic unilateral (single) versus bilateral (multiple) biliary stenting for malignant hilar obstruction. Also, we provide technical guidance to improve the technical success rates and patient outcomes, focusing on bilateral metallic stenting techniques such as stent-in-stent or side-by-side deployment.
引用
收藏
页码：440 / 446
页数：7
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