title: Combined percutaneous-endoscopic approach for biliary endoprosthesis placement.
abstract: A nonoperative method of palliation was used in four patients with malignant obstructive jaundice in whom biliary endoprosthesis could not be placed endoscopically. A guide wire was manipulated through the lesion by a percutaneous transhepatic route and retrieved from the duodenum through an endoscope. A 10 Fr stent was then passed through the endoscope over the guide wire across the stricture. The procedure was successful in all four patients, with no complication.
authors.affiliation: Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh.
authors.forename: A K
authors.initials: AK
authors.lastname: Seth
authors.forename: R K
authors.initials: RK
authors.lastname: Dhiman
authors.forename: S
authors.initials: S
authors.lastname: Gupta
authors.forename: M
authors.initials: M
authors.lastname: Gulati
authors.forename: Y K
authors.initials: YK
authors.lastname: Chawla
authors.forename: S
authors.initials: S
authors.lastname: Suri
authors.forename: J B
authors.initials: JB
authors.lastname: Dilawari
mesh_terms: D000368:Aged; D001651:Cholestasis, Extrahepatic / Q000209:etiology / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D006801:Humans; D020706:Laparoscopes; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D015607:Stents