Korean Journal of Gastrointestinal Endoscopy 2009;39(1): 1-7.
악성 담관 폐쇄에서 내시경적 스텐트 삽입술
김형욱ㆍ강대환
부산대학교 의과대학 내과학교실
Endoscopic Biliary Stenting in Patients with Malignant Biliary Obstruction
Hyung Wook Kim, M.D. and Dae Hwan Kang, M.D.
Department of Internal Medicine, Pusan National University College of Medicine, Yangsan, Korea
Abstract
Cholangiocarcinoma has an extremely poor prognosis and the majority of patients have an incurable disease at the time of presentation. These patients should be offered palliative drainage management. The aims of palliation are to prevent cholangitis or bile peritonitis in the course of follow-up or chemotherapy, and to preserve the functional volume of the liver as much as possible. Endoscopic or percutaneous drainage has become increasingly important in the palliative care of patients with unresectable cholangiocarcinoma. Compared to the percutaneous approach, endoscopic biliary stenting is less invasive, more comfortable, and results in a reduced hospital stay. Therefore, endoscopic biliary stenting should be considered the first-line therapy for jaundice palliation in unresectable cholangiocarcinoma. (Korean J Gastrointest Endosc 2009;39:1-7)
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