Bilateral Metallic Stenting in Malignant Hilar Obstruction

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...

Full description

Bibliographic Details
Main Authors:	Lee, Tae Hoon, Moon, Jong Ho, Park, Sang-Heum
Format:	Online
Language:	English
Published:	The Korean Society of Gastrointestinal Endoscopy 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198562/

id	pubmed-4198562
recordtype	oai_dc
spelling	pubmed-41985622014-10-16 Bilateral Metallic Stenting in Malignant Hilar Obstruction Lee, Tae Hoon Moon, Jong Ho Park, Sang-Heum Review 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. The Korean Society of Gastrointestinal Endoscopy 2014-09 2014-09-30 /pmc/articles/PMC4198562/ /pubmed/25325005 http://dx.doi.org/10.5946/ce.2014.47.5.440 Text en Copyright © 2014 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lee, Tae Hoon Moon, Jong Ho Park, Sang-Heum
spellingShingle	Lee, Tae Hoon Moon, Jong Ho Park, Sang-Heum Bilateral Metallic Stenting in Malignant Hilar Obstruction
author_facet	Lee, Tae Hoon Moon, Jong Ho Park, Sang-Heum
author_sort	Lee, Tae Hoon
title	Bilateral Metallic Stenting in Malignant Hilar Obstruction
title_short	Bilateral Metallic Stenting in Malignant Hilar Obstruction
title_full	Bilateral Metallic Stenting in Malignant Hilar Obstruction
title_fullStr	Bilateral Metallic Stenting in Malignant Hilar Obstruction
title_full_unstemmed	Bilateral Metallic Stenting in Malignant Hilar Obstruction
title_sort	bilateral metallic stenting in malignant hilar obstruction
description	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.
publisher	The Korean Society of Gastrointestinal Endoscopy
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198562/
_version_	1613145180099051520

Bilateral Metallic Stenting in Malignant Hilar Obstruction

Similar Items