title: [Treatment of malignant biliary obstructions via the percutaneous approach].
abstract: This paper gives an overview of experience and success of percutaneous transhepatic interventions in malignant biliary obstruction. Even after exhaustion of surgical and endoscopic therapy options, the percutaneously inserted stents provide effective palliation. The palliative treatment of malignant jaundice using a stent is an established procedure in clinical practice, particularly whenever the endoscopic, transpapillary approach is not possible due to high obstructions or previous surgery. The technical success rate is very high (about 95-100%), and the complication rate is about 10-30%. Since the patency rate of stents is higher than that of plastic endoprostheses, their primary use is justified despite higher costs, provided the patients are adequately selected.
authors.affiliation: Abteilung für Radiodiagnostik, Radiologische Klinik der Ruprecht-Karls-Universität Heidelberg. Boris@radeleff.de
authors.forename: B A
authors.initials: BA
authors.lastname: Radeleff
authors.forename: R
authors.initials: R
authors.lastname: López-Benítez
authors.forename: P
authors.initials: P
authors.lastname: Hallscheidt
authors.forename: L
authors.initials: L
authors.lastname: Grenacher
authors.forename: M
authors.initials: M
authors.lastname: Libicher
authors.forename: G M
authors.initials: GM
authors.lastname: Richter
authors.forename: G W
authors.initials: GW
authors.lastname: Kauffmann
mesh_terms: D004322:Drainage; D006801:Humans; D041781:Jaundice, Obstructive / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D009369:Neoplasms / Q000150:complications; D010166:Palliative Care; D018579:Patient Selection; D019919:Prosthesis Implantation; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome