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Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma.

VideoGIE 2021 April
BACKGROUND AND AIMS: Recent data support a role for endoscopic radiofrequency ablation (RFA) in unresectable cholangiocarcinoma by improving stent patency and overall survival.

METHODS: We describe 3 patients with inoperable cholangiocarcinoma with jaundice and cholestasis who were recommended palliative chemotherapy. They underwent endoscopic retrograde cholangiopancreatography with single-operator cholangioscope and intraductal RFA.

RESULTS: The procedures were performed without adverse events in all patients, with clinical and analytical improvement 1 month later.

CONCLUSIONS: RFA is a promising and safe palliative treatment in patients with unresectable cholangiocarcinoma.

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