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Updated: May 26, 2026

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Malignant biliary stenosis treated with two percutaneous stents--case report
M Radovanovic1, M Radojkovic, M Stojanovic
1Radiology Institute, Clinical Center Nis, Serbia.
Summary
Interventional radiology offers palliative care for malignant biliary stenosis. Self-expanding metallic stents provide effective internal biliary drainage for unresectable tumors, improving patient outcomes.
Area of Science:
- Interventional Radiology
- Oncology
- Gastroenterology
Background:
- Interventional radiology is a key tool in palliative care for malignant biliary stenosis.
- Malignant biliary obstruction poses significant challenges in patient management.
Observation:
- A 62-year-old patient presented with recurrent malignant biliary obstruction.
- The obstruction involved a tumor in the common bile duct remnant and infiltrated a hepaticojejunostomy.
Findings:
- Percutaneous placement of two self-expanding metallic stents achieved biliary decompression.
- This approach was mandatory due to prior surgery and the unresectable nature of the recurrent tumor.
Implications:
- Self-expanding metallic stents offer definitive internal biliary drainage for unresectable malignant biliary stenosis.
- Minimally invasive radiological interventions aim for effective biliary decompression and improved palliation.
