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BILIARY STENTING FOR MALIGNANT BILIARY OBSTRUCTION
Author(s) -
Tsuyuguchi Toshio,
Fukuda Yoshihiro,
Tsuchiya Shin,
Sakai Yuji,
Ishihara Takeshi,
Yamaguchi Taketo,
Saisho Hiromitsu
Publication year - 2006
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2006.00577.x
Subject(s) - medicine , stent , malignancy , biliary drainage , biliary stent , endoscopic stenting , radiology , surgery
Management of patients with malignant biliary obstruction remains controversial. We reviewed our current status of biliary stenting for malignancy. The initial step in our management is endoscopic nasobiliary drainage, which is used not only for preoperative drainage but also to decide whether or not surgery is appropriate treatment. Although a metal stent has a longer patency time than a plastic stent, it costs up to thirty‐fold more than the latter in Japan. Therefore, stent selection, metal or plastic, should be dependent on the expected prognosis of each patient with malignant biliary strictures. In the present paper, we also discuss the efficacy of the covered metal stent and stenting for malignant hilar obstruction.