Biliary drainage in pancreatic cancer: The endoscopic retrograde cholangiopancreatography perspective

Biliary obstruction secondary to tumor infi ltration of the bile duct is a very frequent complication of pancreatic cancer. Pancreatic cancer is actual ly responsible of jaundice in two out of three patients with malignant biliary obstruction in clinical trials.[1] In addition, obstructive jaundice is often the first clinical sign of the disease. Obstructive jaundice limits or even precludes the use of chemotherapy, both in a neoadjuvant and palliative settings. Biliary drainage becomes, therefore, one of the cornerstones in the management of patients with pancreatic cancer.

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