Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma

doi:10.3748/wjg.v20.i22.6968

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastroenterol. Jun 14, 2014; 20(22): 6968-6973
Published online Jun 14, 2014. doi: 10.3748/wjg.v20.i22.6968

Evaluation of endoscopic biliary stenting for obstructive jaundice caused by hepatocellular carcinoma

Gen Sugiyama, Yoshinobu Okabe, Yusuke Ishida, Fumihiko Saitou, Ryuichi Kawahara, Hiroto Ishikawa, Hiroyuki Horiuchi, Hisafumi Kinoshita, Osamu Tsuruta, Michio Sata

Gen Sugiyama, Yoshinobu Okabe, Yusuke Ishida, Fumihiko Saitou, Ryuichi Kawahara, Hiroto Ishikawa, Hiroyuki Horiuchi, Hisafumi Kinoshita, Osamu Tsuruta, Michio Sata, Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan

Author contributions: Sugiyama G, Okabe Y and Ishida Y performed endoscopic treatment; Sugiyama G and Saitou F contributed to conception, design, and acquisition of data; Kawahara R, Ishikawa H, Horiuchi H and Kinoshita H performed surgery; Tsuruta O and Sata M were in charge of this study.

Correspondence to: Yoshinobu Okabe, MD, PhD, Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. okabe_yoshinobu@kurume-u.ac.jp

Telephone: +81-942-353311 Fax: +81-942-342623

Received: September 22, 2013
Revised: January 6, 2014
Accepted: February 17, 2014
Published online: June 14, 2014

Core Tip

Core tip: Taking into account quality of life, percutaneous transhepatic biliary drainage is normally carried out as a first choice endoscopic biliary stenting in recent years. The resulting prolonged survival time was observed as significantly different when the non-successful group was compared to the successful group. Obstructive jaundice caused by hepatocellular carcinoma is a complex disease state; therefore endoscopic biliary stenting should be investigated from a different viewpoint from that of biliary drainage performed for other malignant biliary obstructions, such as bile duct carcinoma.