Cargando…

Advances in the endoscopic management of malignant biliary obstruction

Biliary obstruction is common in pancreatobiliary malignancies and has a negative impact on the patient’s quality of life, postoperative complications, and survival rates. Particularly in the last decade, there has been enormous progress regarding the diagnostic and therapeutic options in patients w...

Descripción completa

Detalles Bibliográficos
Autores principales: Thomaidis, Thomas, Kallimanis, George, May, Gary, Zhou, Pinghong, Sivanathan, Visvakanth, Mosko, Jeff, Triantafillidis, John K., Teshima, Christopher, Moehler, Markus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315700/
https://www.ncbi.nlm.nih.gov/pubmed/32624653
http://dx.doi.org/10.20524/aog.2020.0497
_version_ 1783550310105481216
author Thomaidis, Thomas
Kallimanis, George
May, Gary
Zhou, Pinghong
Sivanathan, Visvakanth
Mosko, Jeff
Triantafillidis, John K.
Teshima, Christopher
Moehler, Markus
author_facet Thomaidis, Thomas
Kallimanis, George
May, Gary
Zhou, Pinghong
Sivanathan, Visvakanth
Mosko, Jeff
Triantafillidis, John K.
Teshima, Christopher
Moehler, Markus
author_sort Thomaidis, Thomas
collection PubMed
description Biliary obstruction is common in pancreatobiliary malignancies and has a negative impact on the patient’s quality of life, postoperative complications, and survival rates. Particularly in the last decade, there has been enormous progress regarding the diagnostic and therapeutic options in patients with malignant biliary obstruction. Endoscopy has given a new insight in this direction and novel techniques have been developed for the better characterization and treatment of malignant strictures. We herein summarize the available data on the different endoscopic techniques, and clarify their role in the diagnosis and treatment of malignant biliary obstructive disease. Finally, we propose an algorithm that can facilitate management decisions in these patients.
format Online
Article
Text
id pubmed-7315700
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Hellenic Society of Gastroenterology
record_format MEDLINE/PubMed
spelling pubmed-73157002020-07-02 Advances in the endoscopic management of malignant biliary obstruction Thomaidis, Thomas Kallimanis, George May, Gary Zhou, Pinghong Sivanathan, Visvakanth Mosko, Jeff Triantafillidis, John K. Teshima, Christopher Moehler, Markus Ann Gastroenterol Invited Review Biliary obstruction is common in pancreatobiliary malignancies and has a negative impact on the patient’s quality of life, postoperative complications, and survival rates. Particularly in the last decade, there has been enormous progress regarding the diagnostic and therapeutic options in patients with malignant biliary obstruction. Endoscopy has given a new insight in this direction and novel techniques have been developed for the better characterization and treatment of malignant strictures. We herein summarize the available data on the different endoscopic techniques, and clarify their role in the diagnosis and treatment of malignant biliary obstructive disease. Finally, we propose an algorithm that can facilitate management decisions in these patients. Hellenic Society of Gastroenterology 2020 2020-05-25 /pmc/articles/PMC7315700/ /pubmed/32624653 http://dx.doi.org/10.20524/aog.2020.0497 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Invited Review
Thomaidis, Thomas
Kallimanis, George
May, Gary
Zhou, Pinghong
Sivanathan, Visvakanth
Mosko, Jeff
Triantafillidis, John K.
Teshima, Christopher
Moehler, Markus
Advances in the endoscopic management of malignant biliary obstruction
title Advances in the endoscopic management of malignant biliary obstruction
title_full Advances in the endoscopic management of malignant biliary obstruction
title_fullStr Advances in the endoscopic management of malignant biliary obstruction
title_full_unstemmed Advances in the endoscopic management of malignant biliary obstruction
title_short Advances in the endoscopic management of malignant biliary obstruction
title_sort advances in the endoscopic management of malignant biliary obstruction
topic Invited Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315700/
https://www.ncbi.nlm.nih.gov/pubmed/32624653
http://dx.doi.org/10.20524/aog.2020.0497
work_keys_str_mv AT thomaidisthomas advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT kallimanisgeorge advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT maygary advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT zhoupinghong advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT sivanathanvisvakanth advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT moskojeff advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT triantafillidisjohnk advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT teshimachristopher advancesintheendoscopicmanagementofmalignantbiliaryobstruction
AT moehlermarkus advancesintheendoscopicmanagementofmalignantbiliaryobstruction