Palliative percutaneous drainage in malignant biliary obstruction - Part 1: Indications and preprocedure evaluation Journal Article
| Authors: | Covey, A. M.; Brown, K. T. |
| Article Title: | Palliative percutaneous drainage in malignant biliary obstruction - Part 1: Indications and preprocedure evaluation |
| Abstract: | A diagnosis of liver metastasis, periportal adenopathy, or hepatobiliary cancer often is accompanied by findings of biliary obstruction. Malignant biliary obstruction frequently is associated with pruritus, anorexia, cholangitis, or hyperbilirubinemia, which that precludes treatment with chemotherapeutic agents that are excreted or metabolized hepatically. In patients with low biliary obstruction, endoscopic stent placement may accomplish drainage of the entire biliary tree without the need for an external device. Patients with high bile duct obstruction, on the other hand, may need a percutaneous approach to drain the target ducts and avoid draining an atrophic segment or lobe. This first of a series of two articles concerning palliative percutaneous biliary intervention will review the indications for biliary drainage and the preprocedure evaluation of this complicated patient population. © 2006 Elsevier Inc. All rights reserved. |
| Keywords: | surgical technique; review; liver function; treatment planning; magnetic resonance imaging; antineoplastic agent; diagnostic accuracy; preoperative evaluation; cancer palliative therapy; treatment indication; palliative care; computer assisted tomography; tomography, x-ray computed; pruritus; symptom; diagnostic value; contrast enhancement; image quality; three dimensional imaging; endoscopic surgery; jaundice; postoperative infection; sepsis; stent; hyperbilirubinemia; bile duct obstruction; infection prevention; liver parenchyma; antibiotic prophylaxis; drug excretion; percutaneous drainage; drainage; image reconstruction; bile duct cancer; cholestasis; piperacillin plus tazobactam; fatty liver; anatomical variation; jaundice, obstructive; magnetic resonance cholangiopancreatography; cholangitis |
| Journal Title: | The Journal of Supportive Oncology |
| Volume: | 4 |
| Issue: | 6 |
| ISSN: | 1544-6794 |
| Publisher: | BioLink Communications |
| Date Published: | 2006-06-01 |
| Start Page: | 269 |
| End Page: | 273 |
| Language: | English |
| PUBMED: | 16805329 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 8" - "Export Date: 4 June 2012" - "CODEN: JSOOB" - "Source: Scopus" |
