Abstract

Cholangiocarcinoma accounting for 2% of all human malignancies is a rare malignant neoplasm of the biliary tract epithelium. Early stages, being asymptomatic, may go unnoticed and by the time it manifests, the disease process is advanced and usually unresectable. The most common presentation is obstructive jaundice with a lot them progressing to biliary sepsis, septicemia, liver failure and death. Chemotherapy and radiotherapy are ineffective in inoperable tumors. Biliary drainage, either endoscopic or percutaneous, remains the mainstay of palliation in these tumors. Endoscopic cannulation retrogradely across the tumor tissue is difficult and may often prove futile. Percutaneous transhepatic biliary drainage and biliary stenting is a viable, rewarding palliative option with high technical success and low complication rates.

Keywords: Percutaneous Transhepatic Biliary Stenting; Percutaneous Transhepatic Biliary Drainage; PTBD; Failed ERCP; Cholangiocarcinoma; Malignant Biliary Obstruction

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Citation

Citation: Amit Sahu and Arpita Sahu. “Failed ERCP in Extrahepatic Cholangiocarcinoma with Obstructive Jaundice and Cholangitis: An Alternative Approach". Acta Scientific Medical Sciences 4.7 (2020): 54-56.

Copyright

Copyright: © 2020 Amit Sahu and Arpita Sahu. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.