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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2013, vol. 19, book 3;
Subject Collection: Medicine
Page: 465-469
DOI: 10.5272/jimab.2013193.465
Published online: 20 November 2013
J of IMAB. 2013 Jul-Dec;19(3):465-469
BILIARY DRAINAGE
Nikola Y. Kolev1, Valentin L. Ignatov1, Anton Y. Tonev1 
, Aleksandar K. Zlatarov1, Elitsa P. Encheva2, Tanya N. Kirilova1, Vasil M. Bojkov3, Krasimir D. Ivanov1.
1) Department of General and Operative Surgery, 2) Department of Nuclear Medicine, Metabolic Therapy and Radiotherapy, 3) Department of Surgical Diseases
University Hospital “St. Marina” Varna, Bulgaria, Medical University of Varna, Bulgaria.
.
ABSTRACT:
In patients with obstructive jaundice, when the endoscopic approach fails to achieve biliary drainage, percutaneous cannulation and combined endoscopic/percutaneous endoprosthesis insertion can be performed simultaneously or in stages. This study compared these two approaches. Endoscopic retrograde biliary drainage (ERBD) and percutaneous transhepatic biliary drainage (PTBD) are the two main non-surgical treatment options for obstructive jaundice in patients with HCC. ERBD is usually the first-line treatment because of its low hemorrhage risk. Mean stent patency time and mean survival range from 1.0 to 15.9 and 2.8 to 12.3 months, respectively. The dominant effect of biliary drainage suggests that successful jaundice therapy could enhance anti-cancer treatment by increasing life expectancy, decreasing mortality, or both. We present an overview of the efficacy of endoscopic and percutaneous drainage for obstructive jaundice in patients with HCC who are not candidates for surgical resection and summarize the current indications and outcomes of reported clinical use.
Key words: obstructive jaundice; Endoscopic retrograde biliary drainage (ERBD); overview; percutaneous drainage;
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Please cite this article as:
Kolev NY, Ignatov VL, Tonev AY, Zlatarov AK, Encheva EP, Kirilova TN, Bojkov VM, Ivanov KD. BILIARY DRAINAGE. J of IMAB. 2013 Jul-Dec;19(3):465-469. DOI: 10.5272/jimab.2013193.465.
Correspondence to: Anton Y. Tonev, University Hospital "St. Marina", Medical University of Varna; 1, Hristo Smirnenski Blvr., Varna, Bulgaria.; E-mail: teraton@abv.bg;
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Accepted for publication: 21 August 2013
Published online: 20 November 2013