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Practice Guideline
. 2008;15(1):69-73.
doi: 10.1007/s00534-007-1282-x. Epub 2008 Feb 16.

Stenting and interventional radiology for obstructive jaundice in patients with unresectable biliary tract carcinomas

Toshio Tsuyuguchi  1 , Tadahiro Takada, Masaru Miyazaki, Shuichi Miyakawa, Kazuhiro Tsukada, Masato Nagino, Satoshi Kondo, Junji Furuse, Hiroya Saito, Masafumi Suyama, Fumio Kimura, Hideyuki Yoshitomi, Satoshi Nozawa, Masahiro Yoshida, Keita Wada, Hodaka Amano, Fumihiko Miura; Japanese Association of Biliary Surgery; Japanese Society of Hepato-Biliary-Pancreatic Surgery; Japan Society of Clinical Oncology
Collaborators, Affiliations
Practice Guideline

Stenting and interventional radiology for obstructive jaundice in patients with unresectable biliary tract carcinomas

Toshio Tsuyuguchi et al. J Hepatobiliary Pancreat Surg. 2008.

Abstract

Together with biliary drainage, which is an appropriate procedure for unresectable biliary cancer, biliary stent placement is used to improve symptoms associated with jaundice. Owing to investigations comparing percutaneous transhepatic biliary drainage (PTBD), surgical drainage, and endoscopic drainage, many types of stents are now available that can be placed endoscopically. The stents used are classified roughly as plastic stents and metal stents. Compared with plastic stents, metal stents are of large diameter, and have long-term patency (although they are expensive). For this reason, the use of metal stents is preferred for patients who are expected to survive for more than 6 months, whereas for patients who are likely to survive for less than 6 months, the use of plastic stents is not considered to be improper. Obstruction in a metal stent is caused by a tumor that grows within the stent through the mesh interstices. To overcome such problems, a covered metal stent was developed, and these stents are now used in patients with malignant distal biliary obstruction. However, this type of stent has been reported to have several shortcomings, such as being associated with the development of acute cholecystitis and stent migration. In spite of these shortcomings, evidence is expected to demonstrate its superiority over other types of stent.

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Figures

Fig. 1
Fig. 1
Plastic stents. From left, plastic stents with outer diameters of 10, 8.5, and 7 Fr, are shown
Fig. 2
Fig. 2
Covered metal stent (Wallstent; Boston Scientific, Natick, MA, USA). This metal stent is partially covered
See this image and copyright information in PMC

References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1007/s00534-007-1274-x', 'is_inner': False, 'url': 'https://doi.org/10.1007/s00534-007-1274-x'}, {'type': 'PMC', 'value': 'PMC2794351', 'is_inner': False, 'url': 'https://pmc.ncbi.nlm.nih.gov/articles/PMC2794351/'}, {'type': 'PubMed', 'value': '18274838', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/18274838/'}]}
    2. Takada T, Miyazaki M, Miyakawa S, Tsukada K, Nagino M, Kondo S, et al. Purpose, use, and preparation of clinical practice guidelines for the management of biliary tract and ampullary carcinomas. J Hepatobiliary Pancreat Surg 2008;15:2–6. - PMC - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0140-6736(87)92733-4', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0140-6736(87)92733-4'}, {'type': 'PubMed', 'value': '2439854', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/2439854/'}]}
    2. Speer AG, Cotton PB, Russell RC, Mason RR, Hatfield AR, Leung JW, et al. Randomised trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice. Lancet 1987;2:57–62. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0140-6736(94)90455-3', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0140-6736(94)90455-3'}, {'type': 'PubMed', 'value': '7996958', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/7996958/'}]}
    2. Smith AC, Dowsett JF, Russell RC, Hatfield AR, Cotton PB. Randomised trial of endoscopic stenting versus surgical bypass in malignant low bile duct obstruction. Lancet 1994;344:1655–60. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/j.ctrv.2006.10.006', 'is_inner': False, 'url': 'https://doi.org/10.1016/j.ctrv.2006.10.006'}, {'type': 'PubMed', 'value': '17157990', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/17157990/'}]}
    2. Moss AC, Morris E, Leyden J, MacMathuna P. Malignant distal biliary obstruction: a systematic review and meta-analysis of endoscopic and surgical bypass results. Cancer Treat Rev 2007; 33:213–21. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S1055-3207(02)00037-6', 'is_inner': False, 'url': 'https://doi.org/10.1016/s1055-3207(02)00037-6'}, {'type': 'PubMed', 'value': '12607580', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12607580/'}]}
    2. Madoff DC, Wallace MJ. Palliative treatment of unresectable bile duct cancer: which stent? Which approach? Surg Oncol Clin N Am 2002;11:923–39. - PubMed

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