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Review
. 2022 Oct 16;14(10):581-596.
doi: 10.4253/wjge.v14.i10.581.

Endoscopic palliation of malignant biliary obstruction

Andrew Canakis  1 , Michel Kahaleh  2
Affiliations
Review

Endoscopic palliation of malignant biliary obstruction

Andrew Canakis et al. World J Gastrointest Endosc. .

Abstract

Malignant biliary obstruction often presents with challenges requiring the endoscopist to assess the location of the lesion, the staging of the disease, the eventual resectability and patient preferences in term of biliary decompression. This review will focus on the different modalities available in order to offer the most appropriate palliation, such as conventional endoscopic retrograde cholangiopancreatography, endoscopic ultrasound guided biliary drainage as well as ablative therapies including photodynamic therapy or radiofrequency ablation.

Keywords: Ablation therapy; Biliary obstruction; Endoscopic retrograde cholangiopancreatography; Endoscopic ultrasonography; Stenting.

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Conflict of interest statement

Conflict-of-interest statement: Dr. Kahaleh is a consultant for Boston Scientific, Medtronic and Abvvie, he has received research grant from Boston Scientific, Apollo, Olympus, Cook, Microtech and Fuji; Dr Canakis has no disclose.

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