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Updated: Feb 1, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Effectiveness of various approaches for acute malignant colonic obstruction]
M I Bokarev1, A S Vodoleev2, A I Mamykin1
1Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia.
Aim:
To determine optimal treatment strategy for acute malignant colonic obstruction.
Material And Methods:
349 patients with acute malignant colonic obstruction were retrospectively analyzed for the period 2005-2017. All patients were divided into two groups depending on surgical approach. Surgical group comprised 259 patients, endoscopic group - 90 patients. Both groups were comparable by gender, age, level of intestinal obstruction and duration of the disease. However, morbidity and mortality rate were significantly different.
Results:
In surgical group incidence of complications was 63.3%, mortality - 19.7%. In group of endoscopic stenting the same values were 8.9% and 6.7%, respectively. Significant differences of morbidity and mortality were observed between groups (p<0.05).
Conclusion:
Endoscopic stenting should be preferred over surgery to eliminate colonic obstruction in patients with acute malignant ileus.
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