A review on endoscopic palliation of obstructive jaundice before surgery

Since its development, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a simple diagnostic technique to an important therapeutic procedure. Obstructive jaundice is often the first and most common complication in patients with malignant disease of the extrahepatic biliary tract...

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Detalhes bibliográficos
Autores: Artifon, Everson L.A., Otoch, Jose P., Tchekmedyian, Asadur J.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Perú
Recursos:Sociedad de Gastroenterología del Perú
Repositorio:Revista de Gastroenterología del Perú
Idioma:español
OAI Identifier:oai:ojs.revistagastroperu.com:article/157
Acesso em linha:https://revistagastroperu.com/index.php/rgp/article/view/157
Access Level:acceso abierto
Palavra-chave:Cholangiopancreatography
endoscopic retrograde
Pancreatic neoplasms
Cholangiocarcinoma
Descrição
Resumo:Since its development, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a simple diagnostic technique to an important therapeutic procedure. Obstructive jaundice is often the first and most common complication in patients with malignant disease of the extrahepatic biliary tract. Although preoperative biliary drainage (PBD) may be instituted in many centers, different studies have reported divergent results regarding its benefits in reducing the complications of hepatopancreatobiliary surgery, especially with regard to pancreatoduodenectomy for pancreatic cancer. In this review, we will summarize the current literature of PBD and describe its indications, possible benefits, and, when indicated, the appropriate interval before surgery.