A modern approach to malignant hilar biliary obstruction.

  title={A modern approach to malignant hilar biliary obstruction.},
  author={Martin L. Freeman and Timothy D. Sielaff},
  journal={Reviews in gastroenterological disorders},
  volume={3 4},
Management of patients with malignant hilar biliary obstruction is challenging for all specialists involved in their care. Evaluation should focus on potential surgical resection, which offers the principal chance of cure; liver transplantation is offered as an experimental treatment at a few centers. Attempt at curative surgical resection is appropriate for selected tumors and often requires partial hepatectomy. Diagnosis and staging is now facilitated by the use of magnetic resonance… CONTINUE READING