Updates on Endoscopic Stenting for Unresectable Malignant Hilar Biliary Obstruction

被引：0

作者：

Inoue, Tadahisa ^{[1
]}

Naitoh, Itaru ^{[2
]}

机构：

[1] Aichi Med Univ, Dept Gastroenterol, 1-1 Yazakokarimata, Nagakute, Aichi 4801195, Japan

[2] Nagoya City Univ, Dept Gastroenterol, Midori Municipal Hosp, 1-77 Shiomigaoka,Midori Ku, Nagoya, Aichi 4580037, Japan

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 18期

关键词：

malignant hilar biliary obstruction; plastic stent; metal stent; EXPANDABLE METAL STENT; NONRESECTABLE CHOLANGIOCARCINOMA; PHOTODYNAMIC THERAPY; PLACEMENT; DRAINAGE; STRICTURES; REINTERVENTION; EFFICACY;

D O I：

10.3390/jcm13185410

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Malignant hilar biliary obstruction (MHBO) can cause obstructive jaundice and/or cholangitis necessitating appropriate biliary drainage. Endoscopic biliary stenting is the first-choice treatment, especially in unresectable cases, owing to its minimally invasive nature and utility. However, the hilar region is complex because of the branching and curving of bile ducts, making strictures in this area more complicated. Therefore, MHBO stenting is challenging, and treatment strategies have yet to be established. Furthermore, recent advances in antitumor therapies have altered the background surrounding the development of stenting strategies. Therefore, it is necessary to understand and grasp the current evidence well and to accumulate additional evidence reflecting the current situation. This study reviews the current status, issues, and prospects of endoscopic stenting for MHBO, especially in unresectable cases.

引用

页数：8

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