Update on Pancreatobiliary Stents: Stent Placement in Advanced Hilar Tumors

被引:20
作者
Jang, Sung Ill [1 ]
Lee, Dong Ki [2 ]
机构
[1] Hallym Univ, Hallym Univ Kangnam Sacred Heart Hosp, Coll Med, Dept Internal Med, Seoul, South Korea
[2] Yonsei Univ, Gangnam Severance Hosp, Coll Med, Dept Internal Med, 211 Eonju Ro, Seoul 135720, South Korea
关键词
Hilar cholangiocarcinoma; Cholangiocarcinoma; Klatskin's tumor; Palliation; Biliary stenting;
D O I
10.5946/ce.2015.48.3.201
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Palliative drainage is the main treatment option for inoperable hilar cholangiocarcinoma to improve symptoms, which include cholangitis, pruritus, high-grade jaundice, and abdominal pain. Although there is no consensus on the optimal method for biliary drainage due to the paucity of large-scale randomized control studies, several important aspects of any optimal method have been studied. In this review article, we discuss the liver volume to be drained, stent type, techniques to insert self-expanding metal stents, and approaches for proper and effective biliary drainage based on previous studies and personal experience.
引用
收藏
页码:201 / 208
页数:8
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