Preoperative drainage for distal biliary obstruction: endoscopic stenting or nasobiliary drainage?

H Sugiyama, T Tsuyuguchi, Y Sakai… - Hepato …, 2013 - europepmc.org
H Sugiyama, T Tsuyuguchi, Y Sakai, T Nisikawa, M Miyazaki, O Yokosuka
Hepato-gastroenterology, 2013•europepmc.org
Results No significant differences in the overall rate of catheter-related complications, the
rate of tube dysfunction, or the median interval from preoperative biliary drainage to the time
of tube dysfunction were observed between the two groups. Tube dysfunction was observed
significantly more frequently in patients with pancreatic cancer than in those with distal bile
duct or ampullary cancer. Conclusions Both endoscopic biliary stenting and endoscopic
nasobiliary drainage provided safe and effective drainage for patients awaiting …
Results
No significant differences in the overall rate of catheter-related complications, the rate of tube dysfunction, or the median interval from preoperative biliary drainage to the time of tube dysfunction were observed between the two groups. Tube dysfunction was observed significantly more frequently in patients with pancreatic cancer than in those with distal bile duct or ampullary cancer.
Conclusions
Both endoscopic biliary stenting and endoscopic nasobiliary drainage provided safe and effective drainage for patients awaiting pancreaticoduodenectomy. Tube dysfunction was associated with preoperative biliary drainage significantly earlier in patients with pancreatic cancer than in those with distal bile duct cancer or ampullary cancer.
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