Endoscopic palliation of malignant obstructive jaundice: An evidence-based review

Abstract Endoscopic stent insertion is considered the method of choice for palliative treatment of malignant biliary obstruction. Nonetheless, relevant studies are often underpowered or outdated and do not compare actual surgical outcomes with latest stent technology. Purpose of this review was to a...

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Bibliographic Details
Published in:Digestive and liver disease 2007-04, Vol.39 (4), p.375-388
Main Authors: Cipolletta, L, Rotondano, G, Marmo, R, Bianco, M.A
Format: Article
Language:English
Subjects:
Biliary stents
Cholangio-carcinoma
Cholangiopancreatography, Endoscopic Retrograde
Cholestasis - etiology
Cholestasis - surgery
Coated Materials, Biocompatible
Costs and Cost Analysis
Digestive System Neoplasms - complications
Endoscopic therapy
Gastroenterology and Hepatology
Humans
Jaundice, Obstructive - etiology
Jaundice, Obstructive - surgery
Length of Stay
Malignant biliary obstruction
Metals
Palliative Care - methods
Pancreatic cancer
Plastics
Stents
Surgery
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Summary:Abstract Endoscopic stent insertion is considered the method of choice for palliative treatment of malignant biliary obstruction. Nonetheless, relevant studies are often underpowered or outdated and do not compare actual surgical outcomes with latest stent technology. Purpose of this review was to assess, with an evidence-based methodology, the role of endoscopic versus surgical palliation of patients with malignant obstructive jaundice with special reference to clinical effectiveness, safety aspects and economic outcomes.
ISSN:1590-8658
1878-3562
DOI:10.1016/j.dld.2006.12.016