ISSN |
1948-5182 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Copyright |
© The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
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Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Medicine, General & Internal |
Manuscript Type |
Minireviews |
Article Title |
Current status of preoperative drainage for distal biliary obstruction
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Manuscript Source |
Invited Manuscript |
All Author List |
Harutoshi Sugiyama, Toshio Tsuyuguchi, Yuji Sakai, Rintaro Mikata, Shin Yasui, Yuto Watanabe, Dai Sakamoto, Masato Nakamura, Reina Sasaki, Jun-ichi Senoo, Yuko Kusakabe, Masahiro Hayashi and Osamu Yokosuka |
Funding Agency and Grant Number |
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Corresponding Author |
Harutoshi Sugiyama, MD, PhD, Assistant Professor, Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chuou-ku, Chiba 260-8670,
Japan. sugi1.1220@gmail.com
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Key Words |
Preoperative drainage; Biliary drainage; Distal biliary obstruction; Pancreaticoduodenectomy; Obstructive jaundice |
Core Tip |
Because of the postoperative complications, studies have demonstrated that preoperative biliary drainage (PBD) should not be routinely performed in patients who will undergo pancreaticoduodenectomy. PBD may be selectively applied in patients with severe jaundice, cholangitis, or severe malnutrition and in those patients with a relatively long wait before surgery. PBD should be performed through endoscopic routes rather than percutaneous routes to avoid metastatic tumor seeding. Endoscopic stenting or nasobiliary drainage can be selected. Although more expensive, the use of metallic stents remains a viable option to avoid reinterventions.
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Publish Date |
2015-08-29 17:10 |
Citation |
Sugiyama H, Tsuyuguchi T, Sakai Y, Mikata R, Yasui S, Watanabe Y, Sakamoto D, Nakamura M, Sasaki R, Senoo J, Kusakabe Y, Hayashi M, Yokosuka O. Current status of preoperative drainage for distal biliary obstruction. World J Hepatol 2015; 7(18): 2171-2176 |
URL |
http://www.wjgnet.com/1948-5182/full/v7/i18/2171.htm |
DOI |
http://dx.doi.org/10.4254/wjh.v7.i18.2171 |