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10.1155/2016/3296801 http://scihub22266oqcxt.onion/10.1155/2016/3296801 C4766322!4766322!26981114     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Gastroenterol+Res+Pract 2016 ; 2016 (ä): ä Nephropedia Template TP {{tp|p=26981114|t=2016. Malignant Biliary Obstruction: Evidence for Best Practice |pdf=|usr=}}{{26981114}} gab.com Text Malignant Biliary Obstruction: Evidence for Best Practice JO: Gastroenterol Res Pract http://www.kidney.de/pget.php?&tw=1&pmid=26981114 #FOAvip What should be done next? Is the stricture benign? Is it resectable? Should I place a stent? Which one? These are some of the questions one ponders when dealing with biliary strictures. In resectable cases, ongoing questions remain as to whether the biliary tree should be drained prior to surgery. In palliative cases, the relief of obstruction remains the main goal. Options for palliative therapy include surgical bypass, percutaneous drainage, and stenting or endoscopic stenting (transpapillary or via an endoscopic ultrasound approach). This review gathers scientific foundations behind these interventions. For operable cases, preoperative biliary drainage should not be performed unless there is evidence of cholangitis, there is delay in surgical intervention, or intense jaundice is present. For inoperable cases, transpapillary stenting after sphincterotomy is preferable over percutaneous drainage. The use of plastic stents (PS) has no benefit over Self-Expandable Metallic Stents (SEMS). In case transpapillary drainage is not possible, Endoscopic Ultrasonography- (EUS-) guided drainage is still an option over percutaneous means. There is no significant difference between the types of SEMS and its indication should be individualized. Twit Text FOAVip Malignant Biliary Obstruction: Evidence for Best Practice ????Gastroenterol Res Pract http://www.kidney.de/pget.php?&tw=1&pmid=26981114 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26981114 #FOAvip English Wikipedia <ref>{{Cite pmid|26981114}}</ref> Malignant Biliary Obstruction: Evidence for Best Practice #MMPMID26981114 Pu LZCT; Singh R; Loong CK; de Moura EGH Gastroenterol Res Pract 2016[]; 2016 (ä): ä PMID26981114show ga What should be done next? Is the stricture benign? Is it resectable? Should I place a stent? Which one? These are some of the questions one ponders when dealing with biliary strictures. In resectable cases, ongoing questions remain as to whether the biliary tree should be drained prior to surgery. In palliative cases, the relief of obstruction remains the main goal. Options for palliative therapy include surgical bypass, percutaneous drainage, and stenting or endoscopic stenting (transpapillary or via an endoscopic ultrasound approach). This review gathers scientific foundations behind these interventions. For operable cases, preoperative biliary drainage should not be performed unless there is evidence of cholangitis, there is delay in surgical intervention, or intense jaundice is present. For inoperable cases, transpapillary stenting after sphincterotomy is preferable over percutaneous drainage. The use of plastic stents (PS) has no benefit over Self-Expandable Metallic Stents (SEMS). In case transpapillary drainage is not possible, Endoscopic Ultrasonography- (EUS-) guided drainage is still an option over percutaneous means. There is no significant difference between the types of SEMS and its indication should be individualized. äMalignant Biliary Obstruction: Evidence for Best Practice (epmc).pdf DeepDyve Pubget Overpricing