Comparision of PTBD and ERCP for Advanced Malignant Hilar Obstruction
| PTBD | ERCP | |
|---|---|---|
| Pros | Well-tailored method Higher technical and clinical success as a primary or rescue technique Possible selective lobar selecion |
Well-establised method Primary clinical and long term data available Comfortable for the patients |
| Cons | Impaired quality of life Relatively high adverse events |
Complexity in high-grade strictures Difficult revision in multiple metal stents |
PTBD, percutaneous transhepatic biliary drainage; ERCP, endoscopic retrograde cholangiopancreatography.