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KMID : 0359020090390010001
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 1 p.1 ~ p.7
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Endoscopic Biliary Stenting in Patients with Malignant Biliary Obstruction
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Kim Hyung-Wook
Kang Dae-Hwan
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Abstract
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Cholangiocarcinoma has an extremely poor prognosis and the majority of patients have an incurable disease at the time of presentation. These patients should be offered palliative drainage management. The aims of palliation are to prevent cholangitis or bile peritonitis in the course of follow-up or chemotherapy, and to preserve the functional volume of the liver as much as possible. Endoscopic or percutaneous drainage has become increasingly important in the palliative care of patients with unresectable cholangiocarcinoma. Compared to the percutaneous approach, endoscopic biliary stenting is less invasive, more comfortable, and results in a reduced hospital stay. Therefore, endoscopic biliary stenting should be considered the first-line therapy for jaundice palliation in unresectable cholangiocarcinoma.
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KEYWORD
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Stents, Biliary obstruction, Biliary tract neoplasm
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