Endoscopic palliation of malignant obstructive jaundice: an evidence-based review.
Endoscopic stent insertion is considered the method of choice for palliative treatment of malignant biliary obstruction. Nonetheless, relevant studies are often underpowered or outdated and do not compare actual surgical outcomes with latest stent technology. Purpose of this review was to assess, with an evidence-based methodology, the role of endoscopic versus surgical palliation of patients with malignant obstructive jaundice with special reference to clinical effectiveness, safety aspects and economic outcomes.
Cipolletta
L
L
Department of Gastroenterology and Digestive Endoscopy, Hospital Maresca, Torre del Greco, Naples, Italy.
Rotondano
G
G
Marmo
R
R
Bianco
M A
MA
D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D020099:Coated Materials, Biocompatible; D003365:Costs and Cost Analysis; D004067:Digestive System Neoplasms / Q000150:complications*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000601:surgery*; D007902:Length of Stay; D008670:Metals; D010166:Palliative Care / Q000379:methods*; D010969:Plastics; D015607:Stents
D020099:Coated Materials, Biocompatible; D008670:Metals; D010969:Plastics