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Journal of Gastrointestinal Cancer

, Volume 45, Supplement 1, pp 55–57 | Cite as

Successful Percutaneous Endobiliary Radiofrequency Ablation for Unresectable Malignant Biliary Obstruction: A Case Report and Review of the Literature

  • Eric J. MaoEmail author
  • James B. Watson
  • Gregory Soares
  • Fadlallah G. Habr
Case Report

Introduction

Periampullary adenocarcinoma (PA) is a rare cause of gastrointestinal malignancy [1]. Surgical resection remains the only chance for cure [2]; however, even with surgery, 5-year overall survival ranges from 28 to 38 % [3, 4]. Unfortunately, up to 80 % of PAs present at an advanced stage and are surgically unresectable [5]. Biliary obstruction is a frequent manifestation of PA. A multidisciplinary team including oncologists, surgeons, gastroenterologists, and interventional radiologists usually manages PA [6]. Traditionally, endoscopy has been used to relieve malignant biliary obstruction using self-expanding metal stents (SEMSs) [7]. Recently, interventional endoscopy has been employed to deliver direct therapy, such as brachytherapy or photodynamic therapy, to tumors to relieve biliary obstruction [6]. Endobiliary radiofrequency ablation (RFA) is a novel technique that delivers heat energy directly to neoplastic tissues to achieve tumor necrosis and prolong biliary...

Keywords

Common Bile Duct Biliary Obstruction SEMS Placement Malignant Biliary Obstruction Tumor Ingrowth 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of Interest

The authors have no conflict of interest to declare.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Eric J. Mao
    • 1
    Email author
  • James B. Watson
    • 2
  • Gregory Soares
    • 3
  • Fadlallah G. Habr
    • 2
  1. 1.Department of Internal MedicineRhode Island HospitalProvidenceUSA
  2. 2.Department of GastroenterologyRhode Island HospitalProvidenceUSA
  3. 3.Department of Interventional RadiologyRhode Island HospitalProvidenceUSA

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