Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 26: A 68-Year-Old Man With A Klatskin’S Tumor Was Referred For Consideration Of Ercp And Palliative Drainage. How Should I Manage The Patient? (continued)

Joseph Leung, MD, FRCP, FACP, FASGE, MACG

Patients with malignant hilar obstruction present with obstructive jaundice, which could be secondary to an underlying cholangiocarinoma (typically a Klatskin’s tumor), or metastatic hilar lymphadenopathy. The anatomical location and extent of involvement of the intrahepatic ducts associated with hilar obstruction is important to determine the resectability for cure or stenting for palliative care. Surgical resection is possible if a major portion of the liver is not involved or if the liver function is preserved without evidence of vascular involvement. The extent of ductal…
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