Complex palliative treatment of an advanced inoperable tumor of the papilla of vater. endoscopic enteral and percutaneous biliary metalstent insertion

Introduction: Malignant biliary obstruction usually occurs due to papillary-, pancreatic-, gallbladder- or bile duct tumors. Unfortunately, in the majority of cases, it is diagnosed lately, so curative surgery cannot be performed. The best palliative method to resolve jaundice is the placement of a biliary metalstent into the biliary tree to bridge the stenosis. Malignant gastric outlet obstruction can occur as a consequence of gastric/duodenal tumor, or due to expansion of pancreatic-, biliary- and papilla of Vater tumor to this region. In such cases, curative surgery is almost always impossible. Palliative met…