Related Experiment Video
Updated: Dec 26, 2025
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
6.4K
Guidelines for biliary stents and drains
Lorraine C Drapek1, Robert K Kerlan2, Susan Acquisto3
1Massachusetts General Hospital, Boston, MA, USA.
Chinese Clinical Oncology
|March 10, 2020
Summary
Malignant biliary constriction from hepatobiliary and pancreatic cancers causes bile duct obstruction, leading to sepsis and death. Management focuses on biliary stents or drains for symptom relief and patient education.
Area of Science:
- Oncology
- Gastroenterology
Background:
- Hepatobiliary and pancreatic cancers frequently cause malignant biliary constriction, a severe complication.
- This obstruction leads to jaundice, cholangitis, sepsis, and potentially death.
- Patients often present with locally advanced disease, precluding surgical options.
Framework:
- Discusses management strategies for malignant biliary obstruction.
- Highlights the role of oncology health providers in patient care.
- Emphasizes essential education for patients and their families.
Implementation:
- Biliary stents and percutaneous transhepatic drains are key interventions.
- These procedures aim to relieve biliary obstruction and manage complications.
- Focuses on palliative care and supportive measures.
Implications:
- Improved understanding of managing biliary complications in advanced cancers.
- Enhanced patient and family support through comprehensive education.
- Potential for better symptom control and quality of life in affected individuals.
Related Concept Videos
01:26Endoscopic Procedures V: ERCP
2.2K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.2K
01:22Aneurysm IV: Nursing Management
312
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
312
01:29Appendicitis-II: Diagnostic Studies and Management
399
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
399
01:28Esophageal Varices-II: Clinical Features and Management
310
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
310
01:17Chronic Bowel Disorders: Introduction
698
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
698
01:30Acute Pancreatitis II: Clinical Manifestations and Management
639
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
639