title: [Malignant biliary obstruction, general review and clinical practice].
abstract: This review recalls the clinical, anatomic, physiopathological and etiological features necessary in the management of patients with neoplastic bile duct obstruction and exposes the current practice concerning endoscopic and radiologic palliative drainage. Clinical practice according to the clinical situations is explained. This review exposes complications management for patients having undergone an endoscopic or percutaneous drainage of the biliary ducts, the particular case of periportal stenosis, the respective indications of endoscopic and transhepatic percutaneous drainage, usual immediate evolution according to the type of the stenosis and the technique used as well as the management in case of stent obstruction.
authors: Clinique de l'Alma, 166, rue de l'Université, 75007 Paris, France. didier.bonnel@imagerie-tourville.com
authors: Didier
authors: D
authors: Bonnel
authors: Thierry
authors: T
authors: André
authors: Benoît
authors: B
authors: Mader
authors: Jean-François
authors: JF
authors: Lefebvre
authors: Emmanuel
authors: E
authors: Bensoussan
authors: Claude
authors: C
authors: Liguory
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary; D006528:Carcinoma, Hepatocellular / Q000150:complications; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D018281:Cholangiocarcinoma / Q000150:complications; D002779:Cholestasis / Q000209:etiology / Q000628:therapy*; D015179:Colorectal Neoplasms / Q000473:pathology; D003251:Constriction, Pathologic / Q000209:etiology; D004067:Digestive System Neoplasms / Q000150:complications*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000009:adverse effects; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology; D008113:Liver Neoplasms / Q000150:complications; D010166:Palliative Care / Q000379:methods*; D011475:Prosthesis Failure / Q000209:etiology
keywords: malignant biliary obstruction; palliative biliary drainage