• Media type: E-Article
  • Title: Endoscopic retrograde drainage for bile duct cancer
  • Contributor: Soehendra, Nib; Grimm, Horst
  • imprint: Wiley, 1988
  • Published in: World Journal of Surgery
  • Language: English
  • DOI: 10.1007/bf01658491
  • ISSN: 0364-2313; 1432-2323
  • Keywords: Surgery
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:p><jats:bold>Endoscopic biliary drainage is a palliative measure. It is mainly indicated for inoperable malignant jaundice. Extrahepatic obstructions are suitable for the transpapillary decompression, which may be successful in 80–90% of patients. Morbidity and mortality rates are approximately 5% and 1–2%, respectively. Tumors of the hilum region, which usually already involve the intrahepatic ducts, are less eligible for drainage treatment. In the case of insufficient drainage, cholangitis may occur. A satisfactory decompression can only be achieved if both hepatic ducts are catheterized. Apart from the technique, the long‐term results of the drainage treatment also depend on the consistency of the follow‐up. A regular check of the patients is required because, after an average of 3 months, the biliary stent may be occluded, which is usually followed by cholangitis</jats:bold>.</jats:p>