Endoscopic Management of Malignant Biliary Obstructions

Overview

Journal Ann Gastroenterol

Specialty Gastroenterology

Date 2024 May 23

PMID 38779637

Authors

Cecilia Binda

Margherita Trebbi

Chiara Coluccio

Paolo Giuffrida

Barbara Perini

Giulia Gibiino

Stefano Fabbri

Elisa Liverani

Carlo Fabbri

Affiliations

Soon will be listed here.

Abstract

Malignant biliary obstruction (MBO), both distal and hilar, represents an ensemble of different clinical conditions frequently encountered in everyday practice. Given the frequent unresectability of the disease at presentation and the increasing indications for neoadjuvant chemotherapy, endoscopic biliary drainage is generally required during the course of the disease. With the widespread use of interventional endoscopic ultrasound (EUS) and the introduction of dedicated devices, EUS-guided biliary drainage has rapidly gained acceptance, together with transpapillary endoscopic biliary drainage and the percutaneous approach. This comprehensive review describes the current role of endoscopy for distal and hilar MBO supported by evidence, with a focus on the current hot topics in this field.

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