| Title: | Preoperative biliary drainage for hilar cholangiocarcinoma : which stent should be selected? |
| Authors: | Kawakami, Hiroshi Browse this author →KAKEN DB |
| Kondo, Satoshi Browse this author |
| Kuwatani, Masaki Browse this author |
| Yamato, Hiroaki Browse this author |
| Ehira, Nobuyuki Browse this author |
| Kudo, Taiki Browse this author |
| Eto, Kazunori Browse this author |
| Haba, Shin Browse this author |
| Matsumoto, Joe Browse this author |
| Kato, Kentaro Browse this author |
| Tsuchikawa, Takahiro Browse this author |
| Tanaka, Eiichi Browse this author |
| Hirano, Satoshi Browse this author |
| Asaka, Masahiro Browse this author |
| Keywords: | Hilar cholangiocarcinoma |
| Preoperative biliary drainage |
| Endoscopic biliary drainage |
| Endoscopic nasobiliary drainage |
| Bilateral biliary drainage |
| Issue Date: | Sep-2011 |
| Publisher: | Springer Japan |
| Journal Title: | Journal of Hepato-Biliary-Pancreatic Sciences |
| Volume: | 18 |
| Issue: | 5 |
| Start Page: | 630 |
| End Page: | 635 |
| Publisher DOI: | 10.1007/s00534-011-0404-7 |
| PMID: | 21655974 |
| Abstract: | The controversy over whether and how to perform preoperative biliary drainage (PBD) in patients with hilar cholangiocarcinoma (HCA) remains unsettled. Arguments against PBD before pancreatoduodenectomy have recently been gaining momentum. However, the complication-related mortality rate is as high as 10% for patients with HCA who have undergone major liver resection, and liver failure is a major cause of postoperative death. This suggest the need for PBD to treat jaundice in HCA patients scheduled for major surgical resection of the liver and to perform major surgery only after recovery of hepatic function. No definite criteria or guidelines outlining indications for PBD are currently available. In patients with HCA, PBD may be performed by either percutaneous transhepatic biliary drainage (PTBD) or endoscopic biliary drainage (EBD). No consensus, however, has been reached regarding which drainage method is more appropriate. No reported study has compared the effectiveness of PTBD, endoscopic biliary stenting (EBS), and endoscopic nasobiliary drainage (ENBD) in patients with HCA. This review summarizes the results of our study comparing the three methods and outlines the preoperative endoscopic management of segmental cholangitis (SC) in HCA patients undergoing PBD. |
| Rights: | The original publication is available at www.springerlink.com |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/47044 |
| Appears in Collections: | 北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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