Aadam A Aziz, Liu Kevin
Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
J Surg Oncol. 2019 Jul;120(1):57-64. doi: 10.1002/jso.25483. Epub 2019 May 4.
Advanced pancreaticobiliary malignancy tends to be uncurable at presentation and causes significant morbidity for patients. Palliation for malignant biliary obstruction should be minimally invasive, cost-effective, and aim to improve quality of life of patients. Strategies of endoscopic palliation of malignant biliary obstruction can differ based on sites and degree of biliary obstruction with complex decisions of optimal stent type and placement that involve conscientious planning by a multidisciplinary team.
晚期胰胆管恶性肿瘤在确诊时往往无法治愈，给患者带来极大痛苦。恶性胆管梗阻的姑息治疗应微创、经济有效，并旨在提高患者生活质量。恶性胆管梗阻的内镜姑息治疗策略可能因胆管梗阻的部位和程度而异，在选择最佳支架类型和放置位置时需要做出复杂决策，这需要多学科团队精心规划。
