Intrahepatic biliary enteric bypass provides effective palliation in selected patients with malignant obstruction at the hepatic duct confluence Academic Article Article uri icon


MeSH Major

  • Bile Duct Neoplasms
  • Bile Ducts, Extrahepatic
  • Cholangiocarcinoma
  • Neoplasm Staging
  • Preoperative Care


  • Intrahepatic biliary-enteric bypass effectively relieves symptoms due to malignant hilar obstruction. In patients with cholangiocarcinoma, segment III bypass provides excellent palliation with relatively few late complications and can be performed with minimal morbidity and mortality. Bypass to the right sectoral hepatic ducts, on the other hand, is associated with significant procedure-related morbidity and mortality and more late complications. Patients with gallbladder cancer, because of their poor survival, are probably better palliated by percutaneous biliary stenting.

publication date

  • June 1998



  • Academic Article


Digital Object Identifier (DOI)

  • 10.1016/S0002-9610(98)00084-1

PubMed ID

  • 9645771

Additional Document Info

start page

  • 453

end page

  • 60


  • 175


  • 6