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- W2000891932 endingPage "74" @default.
- W2000891932 startingPage "59" @default.
- W2000891932 abstract "Around 80% of the patients with hilar cholangiocarcinoma are candidates for palliative management due to extensive co-morbidity for major surgery, metastases or advanced loco-regional disease. The primary aim of treatment is to provide biliary drainage with long-term relief from pruritis, cholangitis, pain and jaundice. Endoscopically placed self-expanding metallic biliary stent has low procedure-related complications and is probably the modality of choice for patients with unresectable tumour on preoperative assessment. Percutaneous biliary drainage has comparable results and is an alternative when endoscopic expertise is not available or has failed or there are multiple isolated segments with cholangitis. Surgical cholangiojejunostomy provides lasting biliary drainage but has limitations of associated morbidity and mortality. In the absence of high-quality studies, comparing these modalities the choice of biliary drainage procedure should be guided by the available local expertise. Other modalities of treatment like radiotherapy, chemotherapy and photodynamic therapy currently remain investigational." @default.
- W2000891932 created "2016-06-24" @default.
- W2000891932 creator A5045855566 @default.
- W2000891932 creator A5052059898 @default.
- W2000891932 creator A5058311438 @default.
- W2000891932 date "2005-08-01" @default.
- W2000891932 modified "2023-10-17" @default.
- W2000891932 title "Palliative management of hilar cholangiocarcinoma" @default.
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