Abstract
In patients with malignant biliary obstruction it is important to assess the patient clinically, biochemically, and radiologically using ultrasonography (US) and/or computed tomography (CT). The most common causes of malignant obstruction of the bile duct are carcinoma of the pancreas, cholangiocarinoma, and secondary hilar deposits. Histological confirmation of malignancy and identification of the cell type are important, as the prognosis is slightly different in each case, and are also helpful in planning further management. Cross-sectional imaging may provide information concerning the level and probable cause instances, in order to assess tumour resectability and plan the most appropriate approach to surgical or non-surgical biliary decompression, direct cholangiography is often required, either percutaneous transhepatic cholangiography (PTC) or endoscopic retrograde cholangiography (ERC).
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© 1997 Springer-Verlag Berlin Heidelberg
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Watkinson, A.F., Adam, A. (1997). Percutaneous Management of Malignant Biliary Tract Obstruction. In: Rossi, P., Bezzi, M. (eds) Biliary Tract Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60343-3_27
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DOI: https://doi.org/10.1007/978-3-642-60343-3_27
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