Endoscopic and percutaneous intervention in malignant obstructive jaundice.

R E England; D F Martin

doi:10.1007/bf02577624

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PubMed · 8994702

Endoscopic and percutaneous intervention in malignant obstructive jaundice.

R E England·D F Martin

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Abstract

Most patients with malignant obstructive jaundice have inoperable disease at presentation. There is debate regarding the best approach to palliate these patients, i.e., surgical versus endoscopic versus percutaneous drainage. The purpose of this article is to review the current literature in an unbiased fashion, and to present a rationale for management. A multi-disciplinary approach is needed if we are to provide the best care for patients with standardization of definitions, complications, and outcomes between specialities such that meaningful comparisons can be made between studies. The need for prospective randomized trials is clear from the currently deficient literature.

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Bile Duct Neoplasms Bile Ducts, Intrahepatic Cholangiocarcinoma Cholangiopancreatography, Endoscopic Retrograde Cholestasis Endoscopy, Digestive System Humans Metals Palliative Care Pancreatic Neoplasms Plastics Prostheses and Implants Radiography, Interventional Journal Article Research Support, Non-U.S. Gov't

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R E England, D F Martin. Endoscopic and percutaneous intervention in malignant obstructive jaundice.. https://doi.org/10.1007/bf02577624

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