| Theme | Stenting for Digestive Diseases | |
|---|---|---|
| Title | Biliary Stenting for Malignant Hilar Biliary Obstruction | |
| Publish Date | 2019/09 | |
| Author | Yasushi Yamamoto | Center for Gastroenterology, Teine‒Keijinkai Hospital |
| Author | Toshifumi Kin | Center for Gastroenterology, Teine‒Keijinkai Hospital |
| Author | Kei Yane | Center for Gastroenterology, Teine‒Keijinkai Hospital |
| Author | Tsuyoshi Hayashi | Center for Gastroenterology, Teine‒Keijinkai Hospital |
| Author | Kuniyuki Takahashi | Center for Gastroenterology, Teine‒Keijinkai Hospital |
| Author | Akio Katanuma | Center for Gastroenterology, Teine‒Keijinkai Hospital |
| [ Summary ] | Although various drainage methods are reported for the management of malignant hilar biliary obstruction, there is lack of consensus regarding an optimal stenting strategy for malignant hilar biliary obstruction. Currently, symptomatic patients (those with jaundice among other symptoms) with unresectable malignant hilar biliary obstruction, usually undergo endoscopic transpapillary biliary drainage, such as plastic inside stents or multiple metallic stents. Recent advances in anti-tumor therapy have led to improved prognosis in patients with malignant hilar biliary obstruction. Clinicians should choose the stenting method considering the feasibility of re-intervention in addition to the initial stent patency. Endoscopists should perform a biliary stenting procedure only after confirming the biliary stricture characteristics using imaging studies. | |