title: A review on endoscopic palliation of obstructive jaundice before surgery.
abstract: Since its development, endoscopic retrograde cholangiopancreatography (ERCP) has evolved from a simple diagnostic technique to an important therapeutic procedure. Obstructive jaundice is often the first and most common complication in patients with malignant disease of the extrahepatic biliary tract. Although preoperative biliary drainage (PBD) may be instituted in many centers, different studies have reported divergent results regarding its benefits in reducing the complications of hepatopancreatobiliary surgery, especially with regard to pancreatoduodenectomy for pancreatic cancer. In this review, we will summarize the current literature of PBD and describe its indications, possible benefits, and, when indicated, the appropriate interval before surgery.
authors.affiliation: Servicio de Endoscopía. Hospital Ana Costa. Santos, San Pablo, Brasil. Sector de Endoscopia Biliopancreática (CPRE), Servicio de Endoscopia, Hospital de Clínicas. Facultad de Medicina, Universidad de San Pablo. San Pablo, Brasil.
authors.forename: Everson L A
authors.initials: EL
authors.lastname: Artifon
authors.affiliation: Departamento de Cirugía, Universidad de San Pablo, San Pablo, Brasil.
authors.forename: Jose P
authors.initials: JP
authors.lastname: Otoch
authors.affiliation: Hospital Pasteur, Ministerio de Salud Pública. Montevideo, Uruguay. Sociedad de Gastroenterología del Uruguay. Montevideo, Uruguay.
authors.forename: Asadur J
authors.initials: AJ
authors.lastname: Tchekmedyian
mesh_terms: D000465:Algorithms; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D006801:Humans; D041781:Jaundice, Obstructive / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods*