Endoscopic Biliary Darinage (EBD) versus Percutaneous Transhepatic Biliary Drainage (PTBD) for biliary drainage in patients with Perihilar Cholangiocarcinoma (PCCA): A systematic review and meta-analysis

Moll, Caroline Flaksbaum; Ribeiro, Igor Braga; Proença, Igor Mendonça; Monte, Epifânio Silvino do; Sánchez-Luna, Sergio A.; Merchán, Maria Fernanda Shinin; Intriago, Josselyn Mariana Vera; Bernardo, Wanderley Marques; Moura, Eduardo Guimarães Hourneaux de

doi:10.1016/j.clinsp.2022.100163

Cited by 5 publications

(7 citation statements)

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“…This decline can manifest as clinical symptoms like abdominal pain and distension, which not only diminish their quality of life but also pose a potential risk to their overall well-being, particularly for individuals who develop deep vein thrombosis in the lower extremities[ 17 ]. The efficacy of early nutritional therapy in delivering nutritional support to patients with liver and gallbladder diseases has been substantiated, rendering it a more appropriate treatment modality[ 18 ]. In addition to that, early enteral nutrition support can significantly reduce the amount of intravenous fluid administration, thus reducing the incidence of diseases and effectively protecting the gastrointestinal mucosa, promoting recovery, and improving the quality of life[ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Zeng,

Liu,

Yang

2024

World J Gastrointest Surg

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BACKGROUND The liver is an important metabolic and digestive organ in the human body, capable of producing bile, clotting factors, and vitamins. AIM To investigate the recovery of gastrointestinal function in patients after hepatobiliary surgery and identify effective rehabilitation measures. METHODS A total of 200 patients who underwent hepatobiliary surgery in our hospital in 2022 were selected as the study subjects. They were divided into a control group and a study group based on the extent of the surgery, with 100 patients in each group. The control group received routine treatment, while the study group received targeted interventions, including early enteral nutrition support, drinking water before gas discharge, and large bowel enema, to promote postoperative gastrointestinal function recovery. The recovery of gastrointestinal function was compared between the two groups. RESULTS Compared with the control group, patients in the study group had better recovery of bowel sounds and less accumulation of fluids in the liver bed and gallbladder fossa (P < 0.05). They also had shorter time to gas discharge and first meal (P < 0.05), higher overall effective rate of gastrointestinal function recovery (P < 0.05), and lower incidence of postoperative complications (P < 0.05). CONCLUSION Targeted nursing interventions (early nutritional support, drinking water before gas discharge, and enema) can effectively promote gastrointestinal function recovery in patients undergoing hepatobiliary surgery and reduce the incidence of complications, which is worthy of promotion.

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Section: Discussionmentioning

confidence: 99%

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Zeng,

Liu,

Yang

2024

World J Gastrointest Surg

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“…By contrast, in patients with Bismuth types III and IV, it is unclear whether one approach is superior to the other. European guidelines suggest the use of PTBD or a combination of PTBD and ERCP, according to local expertise; similarly, more recent American guidelines suggest that the choice should be based on disease and patient characteristics (comorbidities, life expectancy, patient’s ability to tolerate anesthesia), local practice patterns (availability of skilled and experienced advanced endoscopists) and the patient’s preferences [ 9 , 11 , 36 ].…”

Section: Tbdmentioning

confidence: 99%

“…In cases when drainage is required in the preoperative setting, there is no consensus as to the optimal modality of BD [ 9 ], and even less regarding the best modality of BD in relation to Bismuth-Corlette classification [ 36 ]. Data from the literature are inconsistent when it comes to the best modality of drainage in this setting, endoscopic or percutaneous.…”

Section: Tbdmentioning

confidence: 99%

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Endoscopic management of malignant biliary obstructions

Binda

2024

aog

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Malignant biliary obstruction (MBO), both distal and hilar, represents an ensemble of different clinical conditions frequently encountered in everyday practice. Given the frequent unresectability of the disease at presentation and the increasing indications for neoadjuvant chemotherapy, endoscopic biliary drainage is generally required during the course of the disease. With the widespread use of interventional endoscopic ultrasound (EUS) and the introduction of dedicated devices, EUS-guided biliary drainage has rapidly gained acceptance, together with transpapillary endoscopic biliary drainage and the percutaneous approach. This comprehensive review describes the current role of endoscopy for distal and hilar MBO supported by evidence, with a focus on the current hot topics in this field.

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“…Холангіокарцинома виявляється у 2-4,5 % хворих із злоякісними пухлинами [3,4,5]. Незважаючи на велику кількість робіт, присвячених цьому питанню, результати лікування пацієнтів з даною патологією залишаються незадовільними, тому як спостерігаються висока кількість післяопераційних ускладнень та летальність, яка коливається в межах 15-30 % [6,7].…”

Section: вступunclassified

Modern Methods of Treating Patients With Diseases of the Biliary Tract Complicated by Mechanical Jaundice

Boyko,

Avdosyev,

Yevtushenko

et al. 2023

Khark. Surg. Sch.

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Summary. Introduction. Treatment of patients with diseases of the biliary tract complicated by jaundice remains an urgent problem in abdominal surgery. The development of mechanical jaundice (MJ) is observed in 15–40 % of patients with gallstone disease complicated by choledocholithiasis. MJ of malignant etiology occurs in 40–67 % of patients. Aim. To study the results of the use of minimally invasive surgical interventions in patients with diseases of the biliary tract complicated by mechanical jaundice. Materials and methods. The object of the study were 56 patients with biliary tract complicated by MJ who were being treated in the State Institution “Zaycev V.T. Institute of general and emergency surgery of the National academy of medical sciences of Ukraine”. The first group included 34 patients with non-neoplastic diseases of the biliary tract, complicated by MJ, the second group included 22 patients with cholangiocarcinoma. Results. In subgroup 1A, 15 (41.1 %) patients underwent antegrade endobiliary interventions for the purpose of biliary decompression, in subgroup 1B 19 (55.9 %) patients had unsuccessful attempts at retrograde biliary decompression. The second stage of surgical treatment consisted of reconstructive and restorative operations or combined interventions from antegrade and retrograde approaches. Using antegrade endobiliary interventions, we managed to reduce the development of complications of biliary decompression, compared to patients who had an unsuccessful attempt at endoscopic treatment from 15 (78.9 %) to 1 (6.67 %), as well as reduce the number of complications after reconstructive and restorative operations from 10 (52.6 %) to 1 (6.67 %) and the fatality rate from 2 (10.5 %) to 1 (6.67 %). After successfully performed biliary decompression, 11 (50 %) patients underwent reconstructive and restorative surgical interventions, which were included in the 2A subgroup. The remaining 11 (50 %) patients, who made up the 2B subgroup, underwent similar surgical interventions without prior biliary decompression. In patients of the 2A subgroup, the performance of antegrade endobiliary intervention allowed to reduce the number of postoperative complications by 9.1 % and mortality by 9.1 % in comparison with the patients of the 2B subgroup. Conclusions. Thus, antegrade endobiliary interventions are an alternative method of treatment of diseases of the biliary tract complicated by MJ. Antegrade endobiliary interventions reduced the number of complications after reconstructive operations from 27.3 % to 18.2 %, the mortality rate from 18.2 % to 9.1 %. Antegrade endobiliary interventions for benign diseases of the biliary tract and improved minimally invasive methods of treatment of “endoscopic difficult” forms of choledocholithiasis reduced the number of complications of biliary decompression compared to patients in whom endoscopic decompression was ineffective from 78.9 % to 6.67 %, as well as reduced the level of postoperative complications after reconstructive treatment from 52.6 % to 6.67 % and mortality from 10.5 % to 6.67 %.

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Endoscopic Biliary Darinage (EBD) versus Percutaneous Transhepatic Biliary Drainage (PTBD) for biliary drainage in patients with Perihilar Cholangiocarcinoma (PCCA): A systematic review and meta-analysis

Cited by 5 publications

References 35 publications

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Clinical observation of gastrointestinal function recovery in patients after hepatobiliary surgery

Endoscopic management of malignant biliary obstructions

Modern Methods of Treating Patients With Diseases of the Biliary Tract Complicated by Mechanical Jaundice

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