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Treatment of Malignant Biliary Distal Strictures

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Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

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Abstract

Confluent bilioduodenopancreatic cancer, characterized as stenosis of the distal biliary tract, when diagnosed at a late stage, has a poor prognosis and, therefore, the role of endoscopy (ERCP) becomes the only minimally invasive tool that allows to offer an adequate quality of life to the patient. That means patients with a short survival. In this chapter, we discuss the possibilities of endoscopic drainage of distal biliary lesions, highlighting the anatomical approaches (ERCP) and the nonanatomical approaches (echoguided access). Thus, it is a relevant chapter about palliative care for stenotic cancer of the distal biliary tract.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of São Paulo Medical School, São Paulo, Brazil

    Everson Luiz de Almeida Artifon

  2. Center for Gastrointestinal Endoscopy, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil

    Victor Ottoboni Brunaldi

  3. Endoscopy Service, Hospital das Clinicas from University of São Paulo Medical School, São Paulo, Brazil

    Thiago Arantes de Carvalho Visconti

Authors
  1. Everson Luiz de Almeida Artifon
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  2. Victor Ottoboni Brunaldi
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  3. Thiago Arantes de Carvalho Visconti
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Editor information

Editors and Affiliations

  1. Division of Gastroenterology and Gastrointestinal Endoscopy IRCCS, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

  2. Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan

    Haruhiro Inoue

  3. Department of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, FL, USA

    Michael B. Wallace

Section Editor information

  1. Gastrointestinal Endoscopy Unit, Vita‐Salute San Raffaele University, Milan, Italy

    Pier Alberto Testoni

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de Almeida Artifon, E.L., Brunaldi, V.O., de Carvalho Visconti, T.A. (2022). Treatment of Malignant Biliary Distal Strictures. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-56993-8_82

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  • DOI: https://doi.org/10.1007/978-3-030-56993-8_82

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56992-1

  • Online ISBN: 978-3-030-56993-8

  • eBook Packages: MedicineReference Module Medicine

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