title: Combined endoscopic and percutaneous stent insertion to overcome a problem of percutaneous stent insertion.
abstract: Non-operative stent insertion is a well-accepted means of palliating malignant biliary obstruction. The endoscopic approach is often considered the procedure of choice, with the percutaneous technique reserved for endoscopy failures. We recently encountered a patient in whom both techniques proved unsuccessful initially, and in whom palliation was finally achieved by means of a combined endoscopic and percutaneous transhepatic procedure.
authors: Hepatobiliary Surgery Unit, Hammersmith Hospital, London, UK.
authors: R F
authors: RF
authors: Pace
authors: E
authors: E
authors: Yeung
authors: I S
authors: IS
authors: Benjamin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001651:Cholestasis, Extrahepatic / Q000628:therapy*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D010166:Palliative Care; D019736:Prostheses and Implants