Current status and issues regarding biliary stenting in unresectable biliary obstruction

被引:22
作者
Itoi, Takao [1 ]
Sofuni, Atsushi [1 ]
Itokawa, Fumihide [1 ]
Tonozuka, Ryosuke [1 ]
Ishii, Kentaro [1 ]
机构
[1] Tokyo Med Univ Hosp, Dept Gastroenterol & Hepatol, Tokyo 1600023, Japan
关键词
biliary stenting; endoscopic retrograde cholangiopancreatography (ERCP); malignant biliary obstruction; self-expandable metallic stent (SEMS); EXPANDABLE METAL STENTS; COMMON BILE-DUCT; RANDOMIZED-TRIAL; ARGON PLASMA; ENDOSCOPIC REMOVAL; PLASTIC STENTS; PALLIATIVE TREATMENT; MANAGEMENT; PLACEMENT; MULTICENTER;
D O I
10.1111/den.12062
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In the present review, we describe the current status of biliary stenting in patients with unresectable malignant biliary strictures. Self-expandable metallic stents (SEMS) are the ideal biliary stent for both distal and hilar biliary strictures, although in terms of distal biliary strictures, there is still some debate as to the selection of covered or uncovered SEMS, suprapapillary or transpapillary stent placement, side-by-side or stent-in-stent placement, unilateral or bilateral stent placement and thenecessity for sphincterotomy. Further high-quality randomized controlled trials for these procedures are warranted.
引用
收藏
页码:63 / 70
页数:8
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