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Managing consequent jaundice caused by malignant hilar biliary obstruction (MHBO) is important. Endoscopic biliary drainage is the treatment of choice because of its limited invasiveness. Bilateral self-expandable metallic stent (SEMS)… Click to show full abstract
Managing consequent jaundice caused by malignant hilar biliary obstruction (MHBO) is important. Endoscopic biliary drainage is the treatment of choice because of its limited invasiveness. Bilateral self-expandable metallic stent (SEMS) placement for unresectable MHBO is a good option because of its high success rate and longterm stent patency. However, in patients with surgically altered anatomy, especially those who have undergone Roux-en-Y bypass surgery, ERCP is challenging because the endoscope needs to pass the long limb of the small
Journal Title: VideoGIE
Year Published: 2019
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