Next Article in Journal
Different Treatments in Patients with Temporomandibular Joint Disorders: A Comparative Randomized Study
Previous Article in Journal
Epidemiology of Lyme Disease in a Highly Endemic European Zone
Open AccessReview

Current Endoscopic Management of Malignant Biliary Stricture

by Chi-Chih Wang 1,2,3, Tzu-Wei Yang 2,3,4, Wen-Wei Sung 1,2,5 and Ming-Chang Tsai 1,2,3,*
1
Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
2
School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
3
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
4
Institute and Department of Biological Science and Technology, National Chiao Tung University, Hsinchu 30010, Taiwan
5
Department of Urology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(3), 114; https://doi.org/10.3390/medicina56030114
Received: 21 December 2019 / Revised: 2 March 2020 / Accepted: 2 March 2020 / Published: 5 March 2020
Biliary and pancreatic cancers occur silently in the initial stage and become unresectable within a short time. When these diseases become symptomatic, biliary obstruction, either with or without infection, occurs frequently due to the anatomy associated with these cancers. The endoscopic management of these patients has changed, both with time and with improvements in medical devices. In this review, we present updated and integrated concepts for the endoscopic management of malignant biliary stricture. Endoscopic biliary drainage had been indicated in malignant biliary obstruction, but the concept of endoscopic management has changed with time. Although routine endoscopic stenting should not be performed in resectable malignant distal biliary obstruction (MDBO) patients, endoscopic biliary drainage is the treatment of choice for palliation in unresectable MDBO patients. Self-expanding metal stents (SEMS) have better stent patency and lower costs compared with plastic stents (PS). For malignant hilum obstruction, PS and uncovered SEMS yield similar short-term outcomes, while a covered stent is not usually used due to a potential unintentional obstruction of contralateral ducts. View Full-Text
Keywords: endoscopic management; malignancy; biliary stricture endoscopic management; malignancy; biliary stricture
Show Figures

Figure 1

MDPI and ACS Style

Wang, C.-C.; Yang, T.-W.; Sung, W.-W.; Tsai, M.-C. Current Endoscopic Management of Malignant Biliary Stricture. Medicina 2020, 56, 114.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop