Endoscopic Nasobiliary Drainage and Percutaneous Transhepatic Biliary Drainage for the Treatment of Acute Obstructive Suppurative Cholangitis: A Retrospective Study of 37 Cases

2012 ◽  
Author(s):  
Bin Ou-Yang ◽  
Ke-Wei Zeng ◽  
Hu-Wei Hua ◽  
Xin-Qia Zhang ◽  
Feng-Ling Chen
Keyword(s):  
Retrospective Study ◽  
Biliary Drainage ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Endoscopic Nasobiliary Drainage ◽  
Nasobiliary Drainage ◽  
Suppurative Cholangitis ◽  
Transhepatic Biliary Drainage ◽  
Acute Obstructive Suppurative Cholangitis

scholarly journals Percutaneous transhepatic biliary drainage may be the preferred preoperative drainage method in hilar cholangiocarcinoma

2020 ◽  
Vol 08 (02) ◽  
pp. E203-E210 ◽  
Author(s):  
Yongjiang Ba ◽  
Ping Yue ◽  
Joseph W. Leung ◽  
Haiping Wang ◽  
Yanyan Lin ◽  
...  
Keyword(s):  
Biliary Drainage ◽  
Hilar Cholangiocarcinoma ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Preoperative Biliary Drainage ◽  
Biliary Stents ◽  
External Drainage ◽  
Endoscopic Nasobiliary Drainage ◽  
Significant Difference ◽  
Hospitalization Costs ◽  
Transhepatic Biliary Drainage

Abstract Background and study aims Preoperative biliary drainage of hilar cholangiocarcinoma (HC) is controversial. The goal of this study was to compare the clinical outcome and associated complications for types II, III, and IV HC managed by percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP). Patients and methods Between January 2011 and June 2017, a total of 180 patients with II, III, and IV HC were enrolled in this retrospective cohort study. According to the drainage method, patients were divided into two groups: PTBD (n = 81) and ERCP (n = 99). This study was registered with ClinicalTrials.gov, NCT03104582, and was completed. Results Compared with the PTBD group, the ERCP group had a higher incidence of post-procedural cholangitis (37 [37.37 %] vs. 18 [22.22 %], P = 0.028) and pancreatitis (17 [17.17 %] vs. 2 [2.47 %], P = 0.001); required more salvaged biliary drainage (18 [18.18 %] vs. 5 [6.17 %], P  = 0.029), and incurred a higher cost (P < 0.05). Patients with type III and IV HC in the ERCP group had more cholangitis than those in the PTBD group (26 [36.62 %] vs. 11 [18.03 %], P = 0.018). The rate of cholangitis in patients who received endoscopic bilateral biliary stents insertion was higher than patients with unilateral stenting (23 [50.00 %] vs. 9 [26.47 %], P = 0.034), and underwent PTBD internal-external drainage had a higher incidence of cholangitis than those with only external drainage (11 [34.36 %] vs. 7 [14.29 %], P = 0.034). No significant difference in the rate of cholangitis was observed between the endoscopic unilateral stenting group and the endoscopic nasobiliary drainage group (9 [26.47 %] vs. 5 [26.32 %], P = 0.990). Conclusion Compared to ERCP, PTBD reduced the rate of cholangitis, pancreatitis, salvage biliary drainage, and decreased hospitalization costs in patients with types II, III, and IV HC. Risk of cholangitis for patients with types III and IV was significantly lower in the PTBD group.

Hyperalimentation of jaundiced patients on percutaneous transhepatic biliary drainage

1986 ◽  
Vol 73 (9) ◽  
pp. 716-719 ◽  
Author(s):  
D. Foschi ◽  
G. Cavagna ◽  
F. Callioni ◽  
E. Morandi ◽  
V. Rovati
Keyword(s):  
Biliary Drainage ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Transhepatic Biliary Drainage

Role of Percutaneous Transhepatic Biliary Drainage in Patients With Complications After Gastrectomy

2016 ◽  
Vol 101 (1-2) ◽  
pp. 78-83 ◽  
Author(s):  
Ki-Han Kim ◽  
Ho-Byoung Lee ◽  
Sung-Heun Kim ◽  
Min-Chan Kim ◽  
Ghap-Joong Jung
Keyword(s):  
Biliary Drainage ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Duodenal Stump ◽  
Surgical Interventions ◽  
Afferent Loop Syndrome ◽  
Soft Diet ◽  
Bile Drainage ◽  
Duodenal Stump Leakage ◽  
Transhepatic Biliary Drainage

The aim of this study was to elucidate the role of percutaneous transhepatic biliary drainage (PTBD) in patients with duodenal stump leakage (DSL) and afference loop syndrome (ALS) postgastrectomy for malignancy or benign ulcer perforation. Percutaneous transhepatic biliary drainage (PTBD) is an interventional radiologic procedure used to promote bile drainage. Duodenal stump leakage (DSL) and afferent loop syndrome (ALS) can be serious complications after gastrectomy. From January 2002 through December 2014, we retrospectively reviewed 19 patients who underwent PTBD secondary to DSL and ALS postgastrectomy. In this study, a PTBD tube was placed in the proximal duodenum near the stump or distal duodenum in order to decompress and drain bile and pancreatic fluids. Nine patients with DSL and 10 patients with ALS underwent PTBD. The mean hospital stay was 34.3 days (range, 12 to 71) in DSL group and 16.4 days (range, 6 to 48) in ALS group after PTBD. A liquid or soft diet was started within 2.6 days (range, 1 to 7) in the ALS group and within 3.4 days (range, 0 to 15) in the DSL group after PTBD. One patient with DSL had PTBD changed, and 2 patients with ALS underwent additional surgical interventions after PTBD. The PTBD procedure, during which the tube was inserted into the duodenum, was well-suited for decompression of the duodenum as well as for drainage of bile and pancreatic fluids. This procedure can be an alternative treatment for cases of DSL and ALS postgastrectomy.

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