Qual o papel da ecoendoscopia na drenagem paliativa da via biliar por obstrução maligna?

Survival of patients with metastatic pancreatic cancer undergoing biliary drainage

“…and even early death. 5 In many cases, surgery offers definitive treatment with palliative or therapeutic intent, but it is not without complications. Stenoses and fistulas are more frequent in the postoperative context, in young patients and in the active population.…”

“…In these cases, alternative techniques will be applied, such as percutaneous transhepatic drainage (DPTH) and surgical drainages. 5,7 Endoscopic bile duct drainage in inoperable cases of malignant obstruction is currently the conduct of choice. cases.…”

“…cases. 5,8 In endoscopic drainage of the bile duct, self-expanding metallic prostheses are used, which present better results compared to plastic prostheses, due to the lower rates of obstruction. 8 In order to overcome the shortcomings of ERCP, the morbidities of palliative surgery and DPTH, therapeutic echoendoscopy has been used as an alternative method for biliary clearance.…”

“…There are two types of access: intrahepatic and extrahepatic; There are three access routes: transmural, anterograde transpapillary and retrograde transpapillary. 5 Thus, we can say that the association of new less invasive techniques such as biliary drainage in patients with pancreatic cancer has been collaborating in the treatment of the disease, thus increasing their quality of life and survival, with very low complication rates, with a favorable outcome to the procedure, taking into account the severity of the disease.…”