Photodynamic therapy of extrahepatic cholangiocarcinoma using digital cholangioscopy.

Background: Photodynamic therapy (PDT) of an extrahepatic cholangiocarcinoma using a digital cholangioscopy to deliver the laser.

Background: Cholangiocarcinoma is an aggressive neoplasm that usually requires palliative biliary drainage. Photodynamic therapy (PDT) has been described as a successful adjunct treatment to malignant biliary obstruction.

Effect of preoperative endoscopic decompression on malignant biliary obstruction and postoperative infection.

Background/aims: The role of preoperative biliary drainage as an adjunct in patients undergoing surgical resection for malignant biliary obstruction is controversial. The objective of the present study was to evaluate the effects of preoperative endoscopic biliary drainage and its possible association with postoperative infection in patients presenting neoplastic obstructive jaundice.

Methodology: The medical records of 53 patients presenting periampullary neoplasia were reviewed.