Endoscopy 2020; 52(S 01): S204
DOI: 10.1055/s-0040-1704637
ESGE Days 2020 ePoster Podium presentations
Saturday, April 25, 2020 09:30 – 10:00 ERCP: Malignant strictures ePoster Podium 2
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC RADIOFREQUENCY ABLATION FOR PALLIATIVE TREATMENT OF HILAR CHOLANGIOCARCINOMA

AL Santos
Centro Hospitalar e Universitário de São João, Gastroenterology, Porto, Portugal
,
F Vilas-Boas
Centro Hospitalar e Universitário de São João, Gastroenterology, Porto, Portugal
,
R Morais
Centro Hospitalar e Universitário de São João, Gastroenterology, Porto, Portugal
,
P Pereira
Centro Hospitalar e Universitário de São João, Gastroenterology, Porto, Portugal
,
G Macedo
Centro Hospitalar e Universitário de São João, Gastroenterology, Porto, Portugal
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Publikationsverlauf

Publikationsdatum:
23. April 2020 (online)

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Endoscopic radiofrequency ablation (RFA) can be an option, in unresectable perihilar cholangiocarcinoma (PC), for preventing stent occlusion and increasing overall survival.

A 72-year-old-man was diagnosed with PC. Brush cytology obtained in the initial ERCP confirmed malignancy. Cholangioscopy showed a Bismuth type-I tumor but the patient was considered inoperable due to comorbidities and vascular involvement. Due to progressive worsening of jaundice, ERCP was repeated and RFA (HabibEndoHPB catheter,Boston Scientific) was performed guided by cholangiography and cholangioscopy. An uncovered self-expandable metal stent (Wallflex biliary, 8mm,12cm) was placed in trans papillary position. One month later an improvement of jaundice and cholestasis was seen