The management of hilar biliary strictures remains difficult. These strictures are classified in 4 types (I,II,III and IV). In palliative cases, an endoscopic drainage should be performed in types I and II while a percutaneous drainage is performed in type IV. There is controversy as to whether partial or complete liver drainage should be done. Furthermore there are no standards for drainage types (metallic stents, plastic stents). Morbidity remains high and a multistage procedure can be required. This study aims at evaluating the clinical practices in the investigators' center in order to determine the key factors that contribute to the drainage success or failure.
Study Type
OBSERVATIONAL
Enrollment
50
Institut Paoli Calmettes
Marseille, Bouches du Rhone, France
RECRUITINGEfficacy evaluated by the need for re-interventions
Number of re-interventions
Time frame: up to 2 years
Efficacy evaluated by the need for re-hospitalization
Number of re-hospitalization
Time frame: up to 2 years
Efficacy evaluated by complete or partial liver drainage
realization of complete or partial liver drainage
Time frame: up to 2 years
Toxicity: Occurrence of drainage complications (sepsis, hemorrhage)
Occurrence of drainage complications (sepsis, hemorrhage)
Time frame: up to 2 years
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