TY - JOUR
T1 - Endoscopic drainage in patients with malignant extrahepatic biliary obstruction
T2 - when and how
AU - Mangiavillano, Benedetto
AU - Papanikolaou, Ioannis S
AU - Arvanitakis, Marianna
AU - Auriemma, Francesco
AU - Bianchetti, Mario
AU - Tarantino, Ilaria
AU - Traina, Mario
AU - Deviere, Jacques
AU - Repici, Alessandro
PY - 2020/10
Y1 - 2020/10
N2 - The question of when and how to drain a malignant biliary obstruction (MBO), both intrinsic or extrinsic, remains a controversial point among endoscopists. An important factor that influences the decision to drain an MBO or not is if the patient is a surgical candidate or not and, in the former case, if the patients must undergo neoadiuvant chemotherapy or not. Other questions arising during biliary drainage in MBO patients is which type of stent should be chosen, plastic or metal, and if endoscopic biliary sphincterotomy must be performed or not when a stent is placed. The present review attempts to answer these questions and summarizes the optimal approach toward patients with MBO based on the available evidence.
AB - The question of when and how to drain a malignant biliary obstruction (MBO), both intrinsic or extrinsic, remains a controversial point among endoscopists. An important factor that influences the decision to drain an MBO or not is if the patient is a surgical candidate or not and, in the former case, if the patients must undergo neoadiuvant chemotherapy or not. Other questions arising during biliary drainage in MBO patients is which type of stent should be chosen, plastic or metal, and if endoscopic biliary sphincterotomy must be performed or not when a stent is placed. The present review attempts to answer these questions and summarizes the optimal approach toward patients with MBO based on the available evidence.
U2 - 10.1097/MEG.0000000000001752
DO - 10.1097/MEG.0000000000001752
M3 - Article
C2 - 32398490
VL - 32
SP - 1279
EP - 1283
JO - European Journal of Gastroenterology and Hepatology
JF - European Journal of Gastroenterology and Hepatology
SN - 0954-691X
IS - 10
ER -