Multicentric Italian registry aimed to evaluated the role and results of plastic and metal stents in the treatment of malignant distal biliary strictures

Inclusion Criteria:

• Malignant distal biliary stricture
• Need for Palliative and pre-operative biliary drainage
• Age > 18
• Signature of the informed consent

Exclusion Criteria:

• Previous endoscopic/radiological biliary drainage
• Stricture close to the main hepatic confluence(< 2 cm)
• Duodenal stenosis
• Post- surgical altered anatomy
• Benign disease

Patients requiring for the first time drainage of malignant distal biliary stricture