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- W2019988464 abstract "ERCP provides accurate anatomic information and potential therapy in patients with obstructive jaundice. 1 Speer AG Cotton PB et al. Randomized trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice. Lancet. 1987; 2: 57-62 Abstract PubMed Scopus (590) Google Scholar , 2 Shepard HA Royle G Ross APR Diba A Arthur M Colin- Jones D. Endoscopic biliary decompression in the palliation of malignant obstruction of the distal common bile duct: a randomized trial. Br J Surg. 1988; 75: 1166-1168 Crossref PubMed Scopus (499) Google Scholar Pancreatic cancer and cholangiocarcinoma are the most common causes of malignant biliary obstruction in adults. Less commonly, metastatic colon cancer to the peripancreatic or peri-biliary lymph nodes may result in biliary obstruction. 3 Warshaw L Welch JP. Extrahepatic biliary obstruction by metastatic colon cancer. Ann Surg. 1978; 188: 593-597 Crossref PubMed Scopus (38) Google Scholar Intraductal metastases in the biliary tree are an unusual cause of biliary obstruction and are most commonly associated with hepatoma. 4 Kojiro M Kawabata K Kawano Y et al. Hepatocellular carcinoma presenting as intrabile duct tumor growth: a clinicopathologic study of 24 cases. Cancer. 1982; 49: 2144-2147 Crossref PubMed Scopus (210) Google Scholar Four patients with colon cancer leading to biliary intraductal metastases have been described previously. 5 Roslyn JJ Kuchenbecker S Longmire WP Tompkins RK. Floating tumor debris: a cause of intermittent biliary obstruction. Arch Surg. 1984; 119: 1312-1315 Crossref PubMed Scopus (44) Google Scholar , 6 Takasan H Kitamura O Ozawa K Honjo I. Metastatic cancer of the liver resulting in obstruction of the extrahepatic bile duct. Am J Surg. 1973; 125: 782-785 Abstract Full Text PDF PubMed Scopus (10) Google Scholar In all, the diagnosis was made at laparotomy, and no patients had ERCP. We describe the first report of ERCP findings in a patient with intraductal metastases and a history of colorectal cancer." @default.
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- W2019988464 title "Biliary obstruction caused by colon cancer intraductal metastases: Findings at ERCP" @default.
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