Effective Percutaneous Transhepatic Biliary Drainage for Cystic Dilatation of the Intrahepatic Biliary System in Biliary Atresia: A Case Report

2000 ◽  
Vol 10 (6) ◽  
pp. 395-397
Author(s):  
M. Inoue ◽  
T. Hasegawa ◽  
T. Kusafuka ◽  
T. Sasaki ◽  
Y. Fukui ◽  
...  
2018 ◽  
Vol 37 (1) ◽  
pp. 77-86 ◽  
Author(s):  
Simon Nennstiel ◽  
Matthias Treiber ◽  
Alexander Faber ◽  
Bernhard Haller ◽  
Stefan von Delius ◽  
...  

Background: Percutaneous transhepatic biliary drainage (PTBD) plays a significant role especially in the palliation of an endoscopically inaccessible biliary system. Since a standard technique of PTBD is not defined, we compared a fluoroscopically guided technique (F-PTBD) with an ultrasound (US-PTBD) guided approach. Patients and Methods: Procedure characteristics, success-rates and complication-rates of the different PTBD techniques were compared in patients who underwent PTBD between October 1, 2006, and ­December 31, 2014. Results: In 195 patients, 251 PTBDs (207 F-PTBDs, 44 US-PTBDs) were performed. F-PTBDs were mostly inserted from the right and US-PTBDs from the left. Patient age, gender and physical status were comparable in both techniques. There was no difference regarding overall procedure success (90%/86.4%), overall interventional complication rates (10.6%/9.1%), fluoroscopy times, intervention times or sedatives dosages. However, major complications were only encountered in F-PTBDs. There was a higher success rate for F-PTBD vs. US-PTBD from the right side (91.9 vs. 75%; p = 0.033) and a trend towards a higher success rate for US guidance from the left side (82.9 vs. 95.8%; p = 0.223). Conclusions: For drainage of the right biliary system F-PTBD seems superior over the US-PTBD technique used in this study. However, major complications can occur more frequently in F-PTBD.


BioMedicine ◽  
2018 ◽  
Vol 8 (1) ◽  
pp. 6 ◽  
Author(s):  
Edward Yi-Yung Yu ◽  
Fei-Shih Yang ◽  
Yu-Jen Chiu ◽  
Fuu-Jen Tsai ◽  
Chi-Cheng Lu ◽  
...  

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