Articles: palliative-care.
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Palliative care
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Gastrointest. Endosc. · Apr 2000
Palliation of hilar biliary obstruction from colorectal metastases by endoscopic stent insertion.
In patients with hepatic metastases from colorectal carcinoma there is a distinct subgroup in whom jaundice is not due to hepatic replacement but rather biliary obstruction. We reviewed our experience with stent insertion in patients with malignant proximal biliary obstruction from metastatic colorectal carcinoma. ⋯ Endoscopic stent placement offers effective palliation in most patients with hilar obstruction from colorectal metastases. A subset of patients with type III strictures and greater than 3 intrahepatic metastases often do not benefit from stent insertion.