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Liver and Biliary Tract Surgery pp 289–296Cite as

Endoscopic Palliative Management of the Malignancies of the Biliary Tract

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Abstract

The main causes of malignant obstruction of the main biliary duct are ampullary carcinoma, cholangiocarcinoma, adenocarcinoma of the pancreatic head and carcinoma of the gallbladder. During diagnosis, most of these tumors usually have locally advanced disease or distant metastases. Nevertheless, in such cases if an accurate tissue diagnosis is obtained, preferably without the need of laparotomy, it helps us plan further management [1]. Biliary duct lesions are not always readily accessible to biopsy and cytological techniques have therefore become the initial diagnostic modality in many cases. Brush cytology performed at endoscopic retrograde cholangiopancreatography (ERCP) has now become the preferred initial method of pursuing tissue diagnosis in many patients with biliary strictures, providing a diagnostic sensitivity of 59% (range 42–85%) [2]. Percutaneous radiologically guided fine needle aspiration (FNA) is an accurate diagnostic technique but it is operator–dependent and requires a sufficiently distinct mass lesion for targeting

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Author information

Authors and Affiliations

  1. Department of Gastroenterology, Red Cross Hospital, Athens, Greece

    Kon. Goumas MD, PhD & A. Poulou MD

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  1. Kon. Goumas MD, PhD
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  2. A. Poulou MD
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Editor information

Editors and Affiliations

  1. 2nd Surgical Department and Surgical Oncology Unit, Red Cross Hospital, Athens, Greece

    Constantine Ch. Karaliotas MD, PhD (Chairman) (Chairman)

  2. Department of General Surgery and Transplantation, University Clinic Essen, Germany

    Christoph E. Broelsch MD, FACS (Professor and Chairman) (Professor and Chairman)

  3. Hepatobiliary Surgery, Imperial College, Hammersmith Hospital, London, UK

    Nagy A. Habib ChM, FRCS (Professor) (Professor)

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© 2006 Springer-Verlag/Wien

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Goumas, K., Poulou, A. (2006). Endoscopic Palliative Management of the Malignancies of the Biliary Tract. In: Karaliotas, C.C., Broelsch, C.E., Habib, N.A. (eds) Liver and Biliary Tract Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-49277-2_23

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  • DOI: https://doi.org/10.1007/978-3-211-49277-2_23

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-49275-8

  • Online ISBN: 978-3-211-49277-2

  • eBook Packages: MedicineMedicine (R0)

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