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Digestive Disease Interventions 2022; 06(03): 185-196
DOI: 10.1055/s-0042-1749383
Review Article

A Review of Direct Endobiliary Techniques for the Management of Biliary Conditions

Authors

  • Tushar Garg 

    1   Division of Vascular and Interventional Radiology, Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, Maryland

  • Harjit Singh 

    1   Division of Vascular and Interventional Radiology, Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, Maryland

  • Clifford R. Weiss 

    1   Division of Vascular and Interventional Radiology, Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, Maryland

Funding None.
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Abstract

A majority of patients with cholangiocarcinoma and malignant biliary obstruction cannot undergo surgery for treatment as they present late in the disease course. It is crucial to relieve biliary obstruction in these conditions, for which metallic stents are commonly used. However, these stents have a high rate of occlusion due to the ingrowth of malignant tissue. In this review, we will discuss the use of direct endobiliary therapies that can be used either independently or in combination with metallic stents.

Keywords

endobiliary - ablation - stent - cholangiocarcinoma - stricture


Publication History

Received: 07 December 2021

Accepted: 04 April 2022

Article published online:
13 June 2022

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