| Theme |
Advances in Diagnosis and Endoscopic Treatment for Pancreatic and Biliary Lesion |
| Title |
Stenting for the Cases with Pancreatic and Biliary Obstruction |
| Author |
Hiroyuki Isayama |
Department of Gastroenterology, The University of Tokyo Hospital |
| Author |
Osamu Togawa |
Department of Gastroenterology, Japanese Red Cross Medical Center |
| Author |
Yosuke Nakai |
Department of Gastroenterology, The University of Tokyo Hospital |
| Author |
Naoki Sasahira |
Department of Gastroenterology, The University of Tokyo Hospital |
| Author |
Takao Kawabe |
Department of Endoscopy & Endoscopic Surgery, The University of Tokyo Hospital |
| Author |
Masao Omata |
Department of Gastroenterology, The University of Tokyo Hospital / Department of Endoscopy & Endoscopic Surgery, The University of Tokyo Hospital |
| [ Summary ] |
Biliary drainage and anti-cancer treatment were required for patients with pancreatic and biliary malignancies. For cases with hilar obstructions, we usually insert uncovered metallic stents and perform uni-lobe drainage. Radiotherapy is found to be effective in improving patency and survival rates. Covered metallic stents has been accepted as the standard endoprosthesis for management of distal biliary malignancy cases. Endoscopic pancreatic treatment is effective for benign stricture cases. However, we must select patients carefully because these procedures present some risk. |