What is palliative tx of cholangiocarcinoma?

Nonoperative biliary decompression for proximal tumors. Percutaneous placement of expandable metal stents drainage catheters is usually the appropriate approach for distal bile duct tumors, endoscopic metal stents placement is often the preferred approach For patients with distal bile duct cancer found to be unresectable on surgical exploration, Roux-en-Y hepaticojejunostomy, cholecystectomy, and gastrojejunostomy to prevent gastric outlet obstruction should be performed.