Surgery or EUS-guided choledochoduodenostomy for malignant distal biliary obstruction after ERCP failure.

ABSTRACT:

Background and objectives

Endoscopic retrograde cholangiopancreatography (ERCP) is the method of choice for drainage in patients with distal malignant biliary obstruction, but it fails in up to 10% of cases. Percutaneous transhepatic cholangiography (PTC) and surgical bypass are the traditional drainage alternatives. This study aimed to compare technical and clinical success, quality of life, and survival of surgical biliary bypass or hepaticojejunostomy (HJT) and endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDT) in patients with distal malignant bile duct obstruction and failed ERCP.

Patients and methods

A prospective, randomized trial was conducted. From March 2011 to September 2013, 32 patients with malignant distal biliary obstruction and failed ERCP were s

SUBMITTER: Artifon EL 

PROVIDER: S-EPMC4568637 | biostudies-literature | 2015 Jul-Sep

REPOSITORIES: biostudies-literature