Endoscopic diagnosis and treatment of malignant obstructive jaundice

VernacularTitle:恶性梗阻性黄疸的内镜诊治进展
Author: Ying SHI ; Xiaoxing CHEN
Publication Type:Journal Article
Keywords: Malignant obstructive jaundice; Endoscopic retrograde cholangiopancreatography; Biliary stents
From: Chinese Journal of Hepatobiliary Surgery 2011;17(10):865-870
CountryChina
Language:Chinese
Abstract: Malignant obstructive jaundice is biliary obstruction caused by malignant tumors.When a patient presents to a doctor,he/she is usually too late to be operated,so endoscopic treatment has gradually replaced surgery in its management.Diagnostic endoscopic methods include endoscopic retrograde cholangiopancreatography (ERCP),endoscopic ultrasonography (EUS),and per oral cholangioscopy (POCS),etc.Biliary stent placement at ERCP is the mainstay of endoscopic palliation for jaundice.Other methods include EUS-guided bilioenteric drainage (EGBD),endoscopic radiofrequency ablation,intraluminal brachytherapy of bile duct,endoscopic photodynamic therapy,etc.Magnetic Compression Anastomosis Technique (MCAT) is a new technology which has been developed recently,and its role in the management of malignant obstructive jaundice remains to be seen.Science and technology have brought along progress in endoscopic and consumable technologies.It is predicted that in the future,endoscopic diagnosis and treatment will have more applications.