Percutaneous "T" and "Y" stenting for palliation of malignant biliary hilar obstruction

Dr. Abhishek Chauhan; Dr. Ragini Singh; Dr. Gaurav Raj; Dr. Akash Agarwal

Volume : V, Issue : IX, September - 2016

Percutaneous "T" and "Y" stenting for palliation of malignant biliary hilar obstruction

Dr. Abhishek Chauhan, Dr. Ragini Singh, Dr. Gaurav Raj, Dr. Akash Agarwal

Abstract :

?e purpose of this study is to present the experience of our tertiary care hospital in biliary "T" and/or "Y" conformation stenting for the palliation of malignant biliary hilar obstruction. Malignant biliary hilar obstruction represents 12% of all biliary obstruction cases who undergo percutaneous biliary cholangioplasty at our tertiary care hospital. Malignant biliary bifurcation/hilar obstruction is often inoperable at presentation and has a poor prognosis. Metal self–expanding stents (SEMS) are superior over plastic stents with respect to stent patency rates (evidence level II). ?erefore at our institution SEMS are used as only material for biliary malignant occlusion recanalization. Percutaneous "T" and "Y" biliary stenting for hilar obstruction achieves satisfactory palliation of cholestasis and improves quality of life, with a low complication rate.