Nonsurgical biliary drainage in cancer
The rapid evolution of nonsurgical techniques for drainage of the biliary tree first by the percutaneous route and more recently by the use of endoscopic retrograde cholangiopancreatography (ERCP) has raised important issues and questions. We now have three competing techniques for the diagnosis and management of patients with actual or incipient bile duct obstruction due to cancer. What is the role of each technique? In what way do they compliment or compete with each other? Can an algorythm for their use be developed? Can we balance the risk versus the benefits of these various techniques?
KeywordsCatheter Adenocarcinoma Polyethylene Respiration Pancreatitis
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