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Bilateral Metallic Stenting in Malignant Hilar Obstruction
- Authors
- Lee, Tae Hoon; Moon, Jong Ho; Park, Sang-Heum
- Issue Date
- Sep-2014
- Publisher
- 대한소화기내시경학회
- Keywords
- Hilar cholangiocarcinoma; Metal stents; Bilateral drainage
- Citation
- Clinical Endoscopy, v.47, no.5, pp 440 - 446
- Pages
- 7
- Journal Title
- Clinical Endoscopy
- Volume
- 47
- Number
- 5
- Start Page
- 440
- End Page
- 446
- ISSN
- 2234-2400
2234-2443
- Abstract
- 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.
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
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Related Researcher
- Lee, Tae hoon
- College of Medicine (Department of Internal Medicine)