سرطان الأقنية الصفراوية الهيلاري غير القابل للجراحة مع انسداد صفراوي خبيث قريب واليرقان

References

DOI: 10.1136/gutjnl-2023-330029

• Inoperable perihilar CCA — proximal malignant tract obstruction (PMTO) and jaundice should be considered for palliative stenting by either ERCP or PTC.
• In order to achieve a meaningful reduction of hyperbilirubinaemia (to a level where chemotherapy can be offered), an uncovered SEMS can be placed during either PTC or via ERCP with selective duct cannulation.
• An uncovered SEMS is selected to avoid cystic duct and side-branch duct occlusion.