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Endoscopic and Percutaneous Biliary Drainage Procedures: Role in Preoperative Management, Diagnosis, and Palliation

  • Chapter
Multimodality Management of Borderline Resectable Pancreatic Cancer

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Abstract

Most patients with pancreatic cancer develop obstructive jaundice. Management of malignant biliary obstruction is dependent upon factors such as certainty of the diagnosis, symptoms, and resectability status of the patient. Tissue sampling during endoscopic retrograde cholangiopancreatography (ERCP) has a relatively low sensitivity but high specificity. Surgical resection is the only potentially curative treatment option. Patients with obstructive jaundice have various pathophysiological changes that affect the liver, kidney, heart, and the immune system, potentially increasing the risk of postoperative complications following pancreaticoduodenectomy. However, the role of routine preoperative biliary drainage (PBD) in the management of jaundiced patients with resectable pancreatic cancer is controversial. Most clinical studies have failed to show a clear advantage for patients undergoing PBD and have advised against routinely performing these procedures. PBD appears to increase overall morbidity because of procedure-related complications, especially if plastic stents are used for biliary decompression. Self-expandable metal stents (SEMS) have a longer patency and could reduce the risk of stent-related complications due to early occlusion. PBD may be beneficial in selected patients including those with cholangitis, when surgery is delayed, or when neoadjuvant therapy is planned. ERCP with placement of a short SEMS is the preferred modality and does not interfere with subsequent pancreaticoduodenectomy. Percutaneous and EUS-guided biliary drainage procedures are useful alternatives when ERCP is unsuccessful. SEMS placement is useful as palliation for patients with unresectable disease.

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References

  1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015. CA Cancer J Clin. 2015;65(1):5–29.

    Article  PubMed  Google Scholar 

  2. American Cancer Society. What are the key statistics about pancreatic cancer? [updated 01/09/2015; cited 2015 4 April]. http://www.cancer.org/cancer/pancreaticcancer/detailedguide/pancreatic-cancer-key-statistics.

  3. Kalser MH, Barkin J, MacIntyre JM. Pancreatic cancer. Assessment of prognosis by clinical presentation. Cancer. 1985;56(2):397–402.

    Article  CAS  PubMed  Google Scholar 

  4. Stapley S, Peters TJ, Neal RD, Rose PW, Walter FM, Hamilton W. The risk of pancreatic cancer in symptomatic patients in primary care: a large case-control study using electronic records. Br J Cancer. 2012;106(12):1940–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Chen VK, Arguedas MR, Baron TH. Expandable metal biliary stents before pancreaticoduodenectomy for pancreatic cancer: a Monte-Carlo decision analysis. Clin Gastroenterol Hepatol. 2005;3(12):1229–37.

    Article  PubMed  Google Scholar 

  6. Artifon EL, Sakai P, Cunha JE, Dupont A, Filho FM, Hondo FY, et al. Surgery or endoscopy for palliation of biliary obstruction due to metastatic pancreatic cancer. Am J Gastroenterol. 2006;101(9):2031–7.

    Article  PubMed  Google Scholar 

  7. Moss AC, Morris E, Leyden J, MacMathuna P. Malignant distal biliary obstruction: a systematic review and meta-analysis of endoscopic and surgical bypass results. Cancer Treat Rev. 2007;33(2):213–21.

    Article  PubMed  Google Scholar 

  8. Adamsen S, Olsen M, Jendresen MB, Holck S, Glenthoj A. Endobiliary brush biopsy: intra- and interobserver variation in cytological evaluation of brushings from bile duct strictures. Scand J Gastroenterol. 2006;41(5):597–603.

    Article  PubMed  Google Scholar 

  9. Adler DG, Baron TH, Davila RE, Egan J, Hirota WK, Leighton JA, et al. ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas. Gastrointest Endosc. 2005;62(1):1–8.

    Article  PubMed  Google Scholar 

  10. Hawes RH. Diagnostic and therapeutic uses of ERCP in pancreatic and biliary tract malignancies. Gastrointest Endosc. 2002;56(6 Suppl):S201–5.

    Article  PubMed  Google Scholar 

  11. Singh H, Siddiqui AA. Endosonographic workup and preoperative biliary drainage for pancreatic cancer. Semin Oncol. 2015;42(1):59–69.

    Article  CAS  PubMed  Google Scholar 

  12. Jailwala J, Fogel EL, Sherman S, Gottlieb K, Flueckiger J, Bucksot LG, et al. Triple-tissue sampling at ERCP in malignant biliary obstruction. Gastrointest Endosc. 2000;51(4 Pt 1):383–90.

    Article  CAS  PubMed  Google Scholar 

  13. Navaneethan U, Njei B, Lourdusamy V, Konjeti R, Vargo JJ, Parsi MA. Comparative effectiveness of biliary brush cytology and intraductal biopsy for detection of malignant biliary strictures: a systematic review and meta-analysis. Gastrointest Endosc. 2015;81(1):168–76.

    Article  PubMed  Google Scholar 

  14. Baron TH, Harewood GC, Rumalla A, Pochron NL, Stadheim LM, Gores GJ, et al. A prospective comparison of digital image analysis and routine cytology for the identification of malignancy in biliary tract strictures. Clin Gastroenterol Hepatol. 2004;2(3):214–9.

    Article  PubMed  Google Scholar 

  15. Zhou GX, Huang JF, Li ZS, Xu GM, Liu F, Zhang H. Detection of K-ras point mutation and telomerase activity during endoscopic retrograde cholangiopancreatography in diagnosis of pancreatic cancer. World J Gastroenterol. 2004;10(9):1337–40.

    PubMed Central  CAS  PubMed  Google Scholar 

  16. Navaneethan U, Parsi MA, Gutierrez NG, Bhatt A, Venkatesh PG, Lourdusamy D, et al. Volatile organic compounds in bile can diagnose malignant biliary strictures in the setting of pancreatic cancer: a preliminary observation. Gastrointest Endosc. 2014;80(6):1038–45.

    Article  PubMed  Google Scholar 

  17. Deaver JB. The surgery of jaundice. Ann Surg. 1925;81(1):287–98.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater. Ann Surg. 1935;102(4):763–79.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Diamond T, Rowlands BJ. Endotoxemia in obstructive jaundice. HPB Surg. 1991;4(2):81–94.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  20. Parks RW, Clements WD, Smye MG, Pope C, Rowlands BJ, Diamond T. Intestinal barrier dysfunction in clinical and experimental obstructive jaundice and its reversal by internal biliary drainage. Br J Surg. 1996;83(10):1345–9.

    Article  CAS  PubMed  Google Scholar 

  21. Bemelmans MH, Gouma DJ, Greve JW, Buurman WA. Cytokines tumor necrosis factor and interleukin-6 in experimental biliary obstruction in mice. Hepatology. 1992;15(6):1132–6.

    Article  CAS  PubMed  Google Scholar 

  22. Kennedy JA, Clements WD, Kirk SJ, McCaigue MD, Campbell GR, Erwin PJ, et al. Characterization of the Kupffer cell response to exogenous endotoxin in a rodent model of obstructive jaundice. Br J Surg. 1999;86(5):628–33.

    Article  CAS  PubMed  Google Scholar 

  23. Nehez L, Andersson R. Compromise of immune function in obstructive jaundice. Eur J Surg. 2002;168(6):315–28.

    Article  PubMed  Google Scholar 

  24. Kimmings AN, van Deventer SJ, Obertop H, Rauws EA, Huibregtse K, Gouma DJ. Endotoxin, cytokines, and endotoxin binding proteins in obstructive jaundice and after preoperative biliary drainage. Gut. 2000;46(5):725–31.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  25. Pain JA. Reticulo-endothelial function in obstructive jaundice. Br J Surg. 1987;74(12):1091–4.

    Article  CAS  PubMed  Google Scholar 

  26. Sokol RJ, Winklhofer-Roob BM, Devereaux MW, McKim Jr JM. Generation of hydroperoxides in isolated rat hepatocytes and hepatic mitochondria exposed to hydrophobic bile acids. Gastroenterology. 1995;109(4):1249–56.

    Article  CAS  PubMed  Google Scholar 

  27. Kloek JJ, Heger M, van der Gaag NA, Beuers U, van Gulik TM, Gouma DJ, et al. Effect of preoperative biliary drainage on coagulation and fibrinolysis in severe obstructive cholestasis. J Clin Gastroenterol. 2010;44(9):646–52.

    PubMed  Google Scholar 

  28. Green J, Better OS. Systemic hypotension and renal failure in obstructive jaundice-mechanistic and therapeutic aspects. J Am Soc Nephrol. 1995;5(11):1853–71.

    CAS  PubMed  Google Scholar 

  29. Padillo FJ, Cruz A, Briceno J, Martin-Malo A, Pera-Madrazo C, Sitges-Serra A. Multivariate analysis of factors associated with renal dysfunction in patients with obstructive jaundice. Br J Surg. 2005;92(11):1388–92.

    Article  CAS  PubMed  Google Scholar 

  30. Padillo J, Puente J, Gomez M, Dios F, Naranjo A, Vallejo JA, et al. Improved cardiac function in patients with obstructive jaundice after internal biliary drainage: hemodynamic and hormonal assessment. Ann Surg. 2001;234(5):652–6.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Speer AG, Cotton PB, Russell RC, Mason RR, Hatfield AR, Leung JW, et al. Randomised trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice. Lancet. 1987;2(8550):57–62.

    Article  CAS  PubMed  Google Scholar 

  32. Catalano D, Mariosa L, Miracco A, Mauro R. Percutaneous cholangiography with biliary catheterization and drainage. Rass Int Clin Ter. 1961;41:255–67.

    CAS  PubMed  Google Scholar 

  33. Glenn F, Evans JA, Mujahed Z, Thorbjarnarson B. Percutaneous transhepatic cholangiography. Ann Surg. 1962;156:451–62.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  34. Covey AM, Brown KT. Percutaneous transhepatic biliary drainage. Tech Vasc Interv Radiol. 2008;11(1):14–20.

    Article  PubMed  Google Scholar 

  35. Briggs CD, Irving GR, Cresswell A, Peck R, Lee F, Peterson M, et al. Percutaneous transhepatic insertion of self-expanding short metal stents for biliary obstruction before resection of pancreatic or duodenal malignancy proves to be safe and effective. Surg Endosc. 2010;24(3):567–71.

    Article  PubMed  Google Scholar 

  36. Lawson AJ, Beningfield SJ, Krige JE, Rischbieter P, Burmeister S. Percutaneous transhepatic self-expanding metal stents for palliation of malignant biliary obstruction. S Afr J Surg. 2012;50(3):54, 56, 58 passim.

    Google Scholar 

  37. Mahgerefteh S, Hubert A, Klimov A, Bloom AI. Clinical impact of percutaneous transhepatic insertion of metal biliary endoprostheses for palliation of jaundice and facilitation of chemotherapy. Am J Clin Oncol. 2013.

    Google Scholar 

  38. Pinol V, Castells A, Bordas JM, Real MI, Llach J, Montana X, et al. Percutaneous self-expanding metal stents versus endoscopic polyethylene endoprostheses for treating malignant biliary obstruction: randomized clinical trial. Radiology. 2002;225(1):27–34.

    Article  PubMed  Google Scholar 

  39. Prachayakul V, Aswakul P. Endoscopic ultrasound-guided biliary drainage as an alternative to percutaneous drainage and surgical bypass. World J Gastrointest Endosc. 2015;7(1):37–44.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Boulay BR, Parepally M. Managing malignant biliary obstruction in pancreas cancer: choosing the appropriate strategy. World J Gastroenterol. 2014;20(28):9345–53.

    PubMed Central  PubMed  Google Scholar 

  41. Robson PC, Heffernan N, Gonen M, Thornton R, Brody LA, Holmes R, et al. Prospective study of outcomes after percutaneous biliary drainage for malignant biliary obstruction. Ann Surg Oncol. 2010;17(9):2303–11.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  42. Neal CP, Thomasset SC, Bools D, Sutton CD, Garcea G, Mann CD, et al. Combined percutaneous-endoscopic stenting of malignant biliary obstruction: results from 106 consecutive procedures and identification of factors associated with adverse outcome. Surg Endosc. 2010;24(2):423–31.

    Article  CAS  PubMed  Google Scholar 

  43. Bonin EA, Baron TH. Preoperative biliary stents in pancreatic cancer. J Hepatobiliary Pancreat Sci. 2011;18(5):621–9.

    Article  PubMed  Google Scholar 

  44. Moss AC, Morris E, Mac Mathuna P. Palliative biliary stents for obstructing pancreatic carcinoma. Cochrane Database Syst Rev. 2006;(1):Cd004200.

    Google Scholar 

  45. Pfau PR, Pleskow DK, Banerjee S, Barth BA, Bhat YM, Desilets DJ, et al. Pancreatic and biliary stents. Gastrointest Endosc. 2013;77(3):319–27.

    Article  PubMed  Google Scholar 

  46. van Berkel AM, van Marle J, Groen AK, Bruno MJ. Mechanisms of biliary stent clogging: confocal laser scanning and scanning electron microscopy. Endoscopy. 2005;37(8):729–34.

    Article  PubMed  Google Scholar 

  47. Saxena P, Kumbhari V, Zein ME, Khashab MA. Preoperative biliary drainage. Dig Endosc. 2015;27(2):265–77.

    Article  PubMed  Google Scholar 

  48. Boulay BR, Gardner TB, Gordon SR. Occlusion rate and complications of plastic biliary stent placement in patients undergoing neoadjuvant chemoradiotherapy for pancreatic cancer with malignant biliary obstruction. J Clin Gastroenterol. 2010;44(6):452–5.

    CAS  PubMed  Google Scholar 

  49. England RE, Martin DF, Morris J, Sheridan MB, Frost R, Freeman A, et al. A prospective randomised multicentre trial comparing 10 Fr Teflon Tannenbaum stents with 10 Fr polyethylene Cotton-Leung stents in patients with malignant common duct strictures. Gut. 2000;46(3):395–400.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  50. Terruzzi V, Comin U, De Grazia F, Toti GL, Zambelli A, Beretta S, et al. Prospective randomized trial comparing Tannenbaum Teflon and standard polyethylene stents in distal malignant biliary stenosis. Gastrointest Endosc. 2000;51(1):23–7.

    Article  CAS  PubMed  Google Scholar 

  51. Kadakia SC, Starnes E. Comparison of 10 French gauge stent with 11.5 French gauge stent in patients with biliary tract diseases. Gastrointest Endosc. 1992;38(4):454–9.

    Article  CAS  PubMed  Google Scholar 

  52. Galandi D, Schwarzer G, Bassler D, Allgaier HP. Ursodeoxycholic acid and/or antibiotics for prevention of biliary stent occlusion. Cochrane Database Syst Rev. 2002;(3):Cd003043.

    Google Scholar 

  53. Davids PH, Groen AK, Rauws EA, Tytgat GN, Huibregtse K. Randomised trial of self-expanding metal stents versus polyethylene stents for distal malignant biliary obstruction. Lancet. 1992;340(8834–8835):1488–92.

    Article  CAS  PubMed  Google Scholar 

  54. Decker C, Christein JD, Phadnis MA, Wilcox CM, Varadarajulu S. Biliary metal stents are superior to plastic stents for preoperative biliary decompression in pancreatic cancer. Surg Endosc. 2011;25(7):2364–7.

    Article  PubMed Central  PubMed  Google Scholar 

  55. Kaassis M, Boyer J, Dumas R, Ponchon T, Coumaros D, Delcenserie R, et al. Plastic or metal stents for malignant stricture of the common bile duct? Results of a randomized prospective study. Gastrointest Endosc. 2003;57(2):178–82.

    Article  PubMed  Google Scholar 

  56. Yoon WJ, Ryu JK, Yang KY, Paik WH, Lee JK, Woo SM, et al. A comparison of metal and plastic stents for the relief of jaundice in unresectable malignant biliary obstruction in Korea: an emphasis on cost-effectiveness in a country with a low ERCP cost. Gastrointest Endosc. 2009;70(2):284–9.

    Article  PubMed  Google Scholar 

  57. Adams MA, Anderson MA, Myles JD, Khalatbari S, Scheiman JM. Self-expanding metal stents (SEMS) provide superior outcomes compared to plastic stents for pancreatic cancer patients undergoing neoadjuvant therapy. J Gastrointest Oncol. 2012;3(4):309–13.

    PubMed Central  PubMed  Google Scholar 

  58. Wasan SM, Ross WA, Staerkel GA, Lee JH. Use of expandable metallic biliary stents in resectable pancreatic cancer. Am J Gastroenterol. 2005;100(9):2056–61.

    Article  PubMed  Google Scholar 

  59. Boulay BR. Biliary stents for pancreas cancer with obstruction: the problem with plastic. J Gastrointest Oncol. 2012;3(4):306–8.

    PubMed Central  PubMed  Google Scholar 

  60. Aadam AA, Evans DB, Khan A, Oh Y, Dua K. Efficacy and safety of self-expandable metal stents for biliary decompression in patients receiving neoadjuvant therapy for pancreatic cancer: a prospective study. Gastrointest Endosc. 2012;76(1):67–75.

    Article  PubMed  Google Scholar 

  61. Kahaleh M, Brock A, Conaway MR, Shami VM, Dumonceau JM, Northup PG, et al. Covered self-expandable metal stents in pancreatic malignancy regardless of resectability: a new concept validated by a decision analysis. Endoscopy. 2007;39(4):319–24.

    Article  CAS  PubMed  Google Scholar 

  62. Lawrence C, Howell DA, Conklin DE, Stefan AM, Martin RF. Delayed pancreaticoduodenectomy for cancer patients with prior ERCP-placed, nonforeshortening, self-expanding metal stents: a positive outcome. Gastrointest Endosc. 2006;63(6):804–7.

    Article  PubMed  Google Scholar 

  63. Siddiqui AA, Mehendiratta V, Loren D, Kowalski T, Fang J, Hilden K, et al. Self-expanding metal stents (SEMS) for preoperative biliary decompression in patients with resectable and borderline-resectable pancreatic cancer: outcomes in 241 patients. Dig Dis Sci. 2013;58(6):1744–50.

    Article  CAS  PubMed  Google Scholar 

  64. Mullen JT, Lee JH, Gomez HF, Ross WA, Fukami N, Wolff RA, et al. Pancreaticoduodenectomy after placement of endobiliary metal stents. J Gastrointest Surg. 2005;9(8):1094–104; discussion 104–5.

    Article  PubMed  Google Scholar 

  65. Misra SP, Dwivedi M. Reflux of duodenal contents and cholangitis in patients undergoing self-expanding metal stent placement. Gastrointest Endosc. 2009;70(2):317–21.

    Article  PubMed  Google Scholar 

  66. Parkdo H, Kim MH, Choi JS, Lee SS, Seo DW, Kim JH, et al. Covered versus uncovered wallstent for malignant extrahepatic biliary obstruction: a cohort comparative analysis. Clin Gastroenterol Hepatol. 2006;4(6):790–6.

    Article  Google Scholar 

  67. Yoon WJ, Lee JK, Lee KH, Lee WJ, Ryu JK, Kim YT, et al. A comparison of covered and uncovered Wallstents for the management of distal malignant biliary obstruction. Gastrointest Endosc. 2006;63(7):996–1000.

    Article  PubMed  Google Scholar 

  68. Loew BJ, Howell DA, Sanders MK, Desilets DJ, Kortan PP, May GR, et al. Comparative performance of uncoated, self-expanding metal biliary stents of different designs in 2 diameters: final results of an international multicenter, randomized, controlled trial. Gastrointest Endosc. 2009;70(3):445–53.

    Article  PubMed  Google Scholar 

  69. Yang KY, Ryu JK, Seo JK, Woo SM, Park JK, Kim YT, et al. A comparison of the Niti-D biliary uncovered stent and the uncovered Wallstent in malignant biliary obstruction. Gastrointest Endosc. 2009;70(1):45–51.

    Article  PubMed  Google Scholar 

  70. Kullman E, Frozanpor F, Soderlund C, Linder S, Sandstrom P, Lindhoff-Larsson A, et al. Covered versus uncovered self-expandable nitinol stents in the palliative treatment of malignant distal biliary obstruction: results from a randomized, multicenter study. Gastrointest Endosc. 2010;72(5):915–23.

    Article  PubMed  Google Scholar 

  71. Telford JJ, Carr-Locke DL, Baron TH, Poneros JM, Bounds BC, Kelsey PB, et al. A randomized trial comparing uncovered and partially covered self-expandable metal stents in the palliation of distal malignant biliary obstruction. Gastrointest Endosc. 2010;72(5):907–14.

    Article  PubMed  Google Scholar 

  72. Isayama H, Komatsu Y, Tsujino T, Sasahira N, Hirano K, Toda N, et al. A prospective randomised study of “covered” versus “uncovered” diamond stents for the management of distal malignant biliary obstruction. Gut. 2004;53(5):729–34.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  73. Saleem A, Leggett CL, Murad MH, Baron TH. Meta-analysis of randomized trials comparing the patency of covered and uncovered self-expandable metal stents for palliation of distal malignant bile duct obstruction. Gastrointest Endosc. 2011;74(2):321–7.e1–3.

    Article  PubMed  Google Scholar 

  74. Almadi MA, Barkun AN, Martel M. No benefit of covered vs. uncovered self-expandable metal stents in patients with malignant distal biliary obstruction: a meta-analysis. Clin Gastroenterol Hepatol. 2013;11(1):27–37.e1.

    Article  PubMed  Google Scholar 

  75. Fumex F, Coumaros D, Napoleon B, Barthet M, Laugier R, Yzet T, et al. Similar performance but higher cholecystitis rate with covered biliary stents: results from a prospective multicenter evaluation. Endoscopy. 2006;38(8):787–92.

    Article  CAS  PubMed  Google Scholar 

  76. Suk KT, Kim HS, Kim JW, Baik SK, Kwon SO, Kim HG, et al. Risk factors for cholecystitis after metal stent placement in malignant biliary obstruction. Gastrointest Endosc. 2006;64(4):522–9.

    Article  PubMed  Google Scholar 

  77. Artifon EL, Sakai P, Ishioka S, Marques SB, Lino AS, Cunha JE, et al. Endoscopic sphincterotomy before deployment of covered metal stent is associated with greater complication rate: a prospective randomized control trial. J Clin Gastroenterol. 2008;42(7):815–9.

    Article  PubMed  Google Scholar 

  78. Banerjee N, Hilden K, Baron TH, Adler DG. Endoscopic biliary sphincterotomy is not required for transpapillary SEMS placement for biliary obstruction. Dig Dis Sci. 2011;56(2):591–5.

    Article  PubMed  Google Scholar 

  79. Giovannini M, Moutardier V, Pesenti C, Bories E, Lelong B, Delpero JR. Endoscopic ultrasound-guided bilioduodenal anastomosis: a new technique for biliary drainage. Endoscopy. 2001;33(10):898–900.

    Article  CAS  PubMed  Google Scholar 

  80. Artifon EL, Aparicio D, Paione JB, Lo SK, Bordini A, Rabello C, et al. Biliary drainage in patients with unresectable, malignant obstruction where ERCP fails: endoscopic ultrasonography-guided choledochoduodenostomy versus percutaneous drainage. J Clin Gastroenterol. 2012;46(9):768–74.

    Article  PubMed  Google Scholar 

  81. Dhir V, Artifon EL, Gupta K, Vila JJ, Maselli R, Frazao M, et al. Multicenter study on endoscopic ultrasound-guided expandable biliary metal stent placement: choice of access route, direction of stent insertion, and drainage route. Dig Endosc. 2014;26(3):430–5.

    Article  PubMed  Google Scholar 

  82. Gupta K, Perez-Miranda M, Kahaleh M, Artifon EL, Itoi T, Freeman ML, et al. Endoscopic ultrasound-assisted bile duct access and drainage: multicenter, long-term analysis of approach, outcomes, and complications of a technique in evolution. J Clin Gastroenterol. 2014;48(1):80–7.

    Article  PubMed  Google Scholar 

  83. Iwashita T, Doi S, Yasuda I. Endoscopic ultrasound-guided biliary drainage: a review. Clin J Gastroenterol. 2014;7:94–102.

    Article  PubMed Central  PubMed  Google Scholar 

  84. Kawakubo K, Isayama H, Kato H, Itoi T, Kawakami H, Hanada K, et al. Multicenter retrospective study of endoscopic ultrasound-guided biliary drainage for malignant biliary obstruction in Japan. J Hepatobiliary Pancreat Sci. 2014;21(5):328–34.

    Article  PubMed  Google Scholar 

  85. Khashab MA, Valeshabad AK, Modayil R, Widmer J, Saxena P, Idrees M, et al. EUS-guided biliary drainage by using a standardized approach for malignant biliary obstruction: rendezvous versus direct transluminal techniques (with videos). Gastrointest Endosc. 2013;78(5):734–41.

    Article  PubMed  Google Scholar 

  86. Song TJ, Hyun YS, Lee SS, Park DH, Seo DW, Lee SK, et al. Endoscopic ultrasound-guided choledochoduodenostomies with fully covered self-expandable metallic stents. World J Gastroenterol. 2012;18(32):4435–40.

    Article  PubMed Central  PubMed  Google Scholar 

  87. Vila JJ, Perez-Miranda M, Vazquez-Sequeiros E, Abadia MA, Perez-Millan A, Gonzalez-Huix F, et al. Initial experience with EUS-guided cholangiopancreatography for biliary and pancreatic duct drainage: a Spanish national survey. Gastrointest Endosc. 2012;76(6):1133–41.

    Article  PubMed  Google Scholar 

  88. Shah JN, Marson F, Weilert F, Bhat YM, Nguyen-Tang T, Shaw RE, et al. Single-operator, single-session EUS-guided anterograde cholangiopan-creatography in failed ERCP or inaccessible papilla. Gastrointest Endosc. 2012;75(1):56–64.

    Article  PubMed  Google Scholar 

  89. Jinkins LJ, Parmar AD, Han Y, Duncan CB, Sheffield KM, Brown KM, et al. Current trends in preoperative biliary stenting in patients with pancreatic cancer. Surgery. 2013;154(2):179–89.

    Article  PubMed Central  PubMed  Google Scholar 

  90. Sargent M, Boeck S, Heinemann V, Jauch KW, Seufferlein T, Bruns CJ. Surgical treatment concepts for patients with pancreatic cancer in Germany—results from a national survey conducted among members of the “Chirurgische Arbeitsgemeinschaft Onkologie” (CAO) and the “Arbeitsgemeinschaft Internistische Onkologie” (AIO) of the Germany Cancer Society (DKG). Langenbecks Arch Surg. 2011;396(2):223–9.

    Article  PubMed  Google Scholar 

  91. Garcea G, Chee W, Ong SL, Maddern GJ. Preoperative biliary drainage for distal obstruction: the case against revisited. Pancreas. 2010;39(2):119–26.

    Article  PubMed  Google Scholar 

  92. Qiu YD, Bai JL, Xu FG, Ding YT. Effect of preoperative biliary drainage on malignant obstructive jaundice: a meta-analysis. W J Gastroenterol. 2011;17(3):391–6.

    Article  Google Scholar 

  93. Saleh MM, Norregaard P, Jorgensen HL, Andersen PK, Matzen P. Preoperative endoscopic stent placement before pancreaticoduodenectomy: a meta-analysis of the effect on morbidity and mortality. Gastrointest Endosc. 2002;56(4):529–34.

    Article  PubMed  Google Scholar 

  94. Sewnath ME, Karsten TM, Prins MH, Rauws EJ, Obertop H, Gouma DJ. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice. Ann Surg. 2002;236(1):17–27.

    Article  PubMed Central  PubMed  Google Scholar 

  95. Velanovich V, Kheibek T, Khan M. Relationship of postoperative complications from preoperative biliary stents after pancreaticoduodenectomy. A new cohort analysis and meta-analysis of modern studies. JOP. 2009;10(1):24–9.

    PubMed  Google Scholar 

  96. Wang Q, Gurusamy KS, Lin H, Xie X, Wang C. Preoperative biliary drainage for obstructive jaundice. Cochrane Database Syst Rev. 2008(3):Cd005444.

    Google Scholar 

  97. Fang Y, Gurusamy KS, Wang Q, Davidson BR, Lin H, Xie X, et al. Pre-operative biliary drainage for obstructive jaundice. Cochrane Database Syst Rev. 2012;(9):Cd005444.

    Google Scholar 

  98. Sun C, Yan G, Li Z, Tzeng CM. A meta-analysis of the effect of preoperative biliary stenting on patients with obstructive jaundice. Medicine. 2014;93(26), e189.

    Article  PubMed Central  PubMed  Google Scholar 

  99. de Bellis M, Palaia R, Sandomenico C, Di Girolamo E, Cascella M, Fiore F. Is preoperative endoscopic biliary drainage indicated for jaundiced patients with resectable pancreatic cancer? Curr Drug Targets. 2012;13(6):753–63.

    Article  PubMed  Google Scholar 

  100. van der Gaag NA, Rauws EA, van Eijck CH, Bruno MJ, van der Harst E, Kubben FJ, et al. Preoperative biliary drainage for cancer of the head of the pancreas. N Engl J Med. 2010;362(2):129–37.

    Article  PubMed  Google Scholar 

  101. Baron TH, Kozarek RA. Preoperative biliary stents in pancreatic cancer—proceed with caution. N Engl J Med. 2010;362(2):170–2.

    Article  CAS  PubMed  Google Scholar 

  102. Rerknimitr R, Kullavanijaya P. Operable malignant jaundice: to stent or not to stent before the operation? World J Gastrointest Endosc. 2010;2(1):10–4.

    Article  PubMed Central  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Digestive Diseases, University of Cincinnati, 231 Albert Sabin Way, ML #0595, Cincinnati, OH, 45267, USA

    Milton T. Smith M.D.

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  1. Milton T. Smith M.D.
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Correspondence to Milton T. Smith M.D. .

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  1. Department of Surgical Oncology, MD Anderson Cancer Center, Houston, Texas, USA

    Matthew H.G. Katz

  2. Division of Surgical Oncology, The University of Cincinnati Medical Center, Cincinnati, Ohio, USA

    Syed A. Ahmad

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© 2016 Springer International Publishing Switzerland

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Smith, M.T. (2016). Endoscopic and Percutaneous Biliary Drainage Procedures: Role in Preoperative Management, Diagnosis, and Palliation. In: Katz, M., Ahmad, S. (eds) Multimodality Management of Borderline Resectable Pancreatic Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-22780-1_4

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  • DOI: https://doi.org/10.1007/978-3-319-22780-1_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22779-5

  • Online ISBN: 978-3-319-22780-1

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