We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

Common bile duct stricture due to an inoperable pancreatic head cancer: metal stent placement

I Boškoski, MD, PhD M Morar, MD I Crisan, MD L Guerriero, MD F Habersetzer, MD M Bouhadjar, D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Sep 2017;17(09). URL: http://websurg.com/doi/vd01en5025

Ask a question to the author

You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
  • 855
  • 83
  • 2017-09-11
Share it
There are several major indications for the endoscopic drainage of malignant common bile duct obstruction. There are several types of drainage: a preoperative biliary drainage, which is performed in selected cases (delayed surgery, high bilirubin levels, itching, cholangitis), a biliary drainage before neo-adjuvant therapies, and a biliary drainage for palliation. According to the ESGE guidelines, palliative biliary drainage should be performed according to life expectancy. If less than 4 months, plastic stent placement is recommended; if longer than 4 months, a self-expandable metal stent should be placed. In any case, every single patient should be evaluated for the best treatment. In particular, since uncovered self-expandable metal stents are impossible to remove, malignancy must be evidenced before placement of these stents.