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Endoscopic Palliation of Hilar Colangiocarcinoma – Usefulness of Selective Occlusion of One Intrahepatic Duct
Endoscopic Palliation of Hilar Colangiocarcinoma – Usefulness of Selective Occlusion of One Intrahepatic Duct
João Fernandes, Diogo Libânio, Sílvia Giestas, José Ramada, David Martinez-Ares, Jorge Canena, Luís Lopes
ERCP with stent placement for palliative biliary drainage is a common strategy used in the management of patients with unresectable hilar cholangiocarcinomas. Selective placement of two guidewires, one in the right intrahepatic duct and the other in the left hepatic duct is an essential pre-requisite for bilateral stenting. However, the insertion of the second guidewire to the contralateral intrahepatic duct can be extremely difficult in some patients.
Hospital Santa Luzia, ULS Alto Minho