Abstract
Interest is increasing in non-operative methods of relieving malignant obstruction of the bile duct, and drainage tubes and prostheses may be placed in the bile duct via the percutaneous transhepatic route. Two cases are described, however, in which a duodenoscope was used and the approach was via the papilla of Vater. This method allows temporary or permanent drainage tubes to be placed through malignant strictures. This endoscopic approach is less invasive and should be safer than that by the transhepatic route; furthermore, removing and replacing a blocked endoprosthesis should be easier. Further study is needed, as the procedure is technically more difficult and its role in managing biliary strictures has yet to be defined.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BUCKWALTER J. A., LAWTON R. L., TIDRICK R. T. BYPASS OPERATIONS FOR NEOPLASTIC BILIARY TRACT OBSTRUCTION. Am J Surg. 1965 Jan;109:100–106. doi: 10.1016/s0002-9610(65)80110-6. [DOI] [PubMed] [Google Scholar]
- Bismuth H., Malt R. A. Current concepts in cancer: carcinoma of the biliary tract. N Engl J Med. 1979 Sep 27;301(13):704–706. doi: 10.1056/NEJM197909273011307. [DOI] [PubMed] [Google Scholar]
- Burcharth F., Jensen L. I., Olesen K. Endoprosthesis for internal drainage of the biliary tract. Technique and results in 48 cases. Gastroenterology. 1979 Jul;77(1):133–137. [PubMed] [Google Scholar]
- Cotton P. B. ERCP. Gut. 1977 Apr;18(4):316–341. doi: 10.1136/gut.18.4.316. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hermann R. E., Cooperman A. M. Current concepts in cancer: cancer of the pancreas. N Engl J Med. 1979 Aug 30;301(9):482–485. doi: 10.1056/NEJM197908303010906. [DOI] [PubMed] [Google Scholar]
- Murray-Lyon I. M. Cholangiocarcinoma. Br J Hosp Med. 1979 May;21(5):478–481. [PubMed] [Google Scholar]
- Nakayama T., Ikeda A., Okuda K. Percutaneous transhepatic drainage of the biliary tract: technique and results in 104 cases. Gastroenterology. 1978 Mar;74(3):554–559. [PubMed] [Google Scholar]
- Pereiras R. V., Jr, Rheingold O. J., Huston D., Mejia J., Viamonte M., Chiprut R. O., Schiff E. R. Relief of malignant obstructive jaundice by percutaneous insertion of a permanent prosthesis in the biliary tree. Ann Intern Med. 1978 Nov;89(5 Pt 1):589–583. doi: 10.7326/0003-4819-89-5-589. [DOI] [PubMed] [Google Scholar]
- Pollock T. W., Ring E. R., Oleaga J. A., Freiman D. B., Mullen J. L., Rosato E. F. Percutaneous decompression of benign and malignant biliary obstruction. Arch Surg. 1979 Feb;114(2):148–151. doi: 10.1001/archsurg.1979.01370260038005. [DOI] [PubMed] [Google Scholar]
- Safrany L. Endoscopic treatment of biliary-tract diseases. An international study. Lancet. 1978 Nov 4;2(8097):983–985. doi: 10.1016/s0140-6736(78)92543-6. [DOI] [PubMed] [Google Scholar]
- Webster D. J. Carcinoma of the pancreas and periampullary region: a clinical study in a district general hospital. Br J Surg. 1975 Feb;62(2):130–134. doi: 10.1002/bjs.1800620213. [DOI] [PubMed] [Google Scholar]