Complications of percutaneous transhepatic biliary interventions

Winick, Adam B.; Waybill, Peter N.; Venbrux, Anthony C.

doi:10.1016/s1089-2516(01)90026-5

Cited by 158 publications

(51 citation statements)

References 6 publications

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“…However, some lymphoma patients who require repeated biliary interventions for obstructive jaundice may benefit from early metal stent placement. In our study, plastic biliary stents placed via ERCP or PBD were efficacious in the majority of lymphoma patients, with high response rates and complication profiles comparable to those seen with other etiologies of malignant biliary obstruction [27,28].…”

Section: Discussionsupporting

confidence: 55%

Outcomes in Lymphoma Patients with Obstructive Jaundice: A Cancer Center Experience

et al. 2010

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ERCP and/or PBD effectively normalized serum bilirubin levels. Plastic stents should be used in patients who have obstructive jaundice at the time of lymphoma diagnosis because these strictures tend to resolve before stent exchanges are necessary. For patients in whom obstructive jaundice develops later in the course of their disease, the limited prognosis often makes a single intervention with insertion of a plastic stent sufficient to provide adequate biliary decompression.

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Section: Discussionsupporting

confidence: 55%

Outcomes in Lymphoma Patients with Obstructive Jaundice: A Cancer Center Experience

et al. 2010

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“…Although both techniques are associated with considerable morbidity, patients undergoing PTBD frequently require multiple repeat interventions, and surgical drainage carries a significant risk for mortality. [5][6][7][8][9] EUS-guided biliary drainage (EUS-BD) has emerged over the last decade as an effective alternative, having significant potential for providing the least invasive and lowest risk method for biliary access. In 2008, an EUS working group convened to establish research priorities in an effort to accelerate the growth and development of interventional EUS.…”

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confidence: 99%

Biliary drainage: role of EUS guidance

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Hawes

Hasan

et al. 2016

Gastrointestinal Endoscopy

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“…[2][3][4] Such patients usually have had percutaneous transhepatic biliary drainage (PTBD) in the past, but at a cost of increased pain, procedural complications, and cosmetic problems related to the external drainage. 2,3,5,6 The presence of an external drainage catheter also has an adverse impact on the quality of life of terminally ill patients. 7 Since EUS-guided bile duct puncture was described in 1996, 8 sporadic case reports of EUS-guided biliary drainage (EUS-BD) have suggested that it is a feasible and effective alternative in patients with failed conventional ERCP stenting.…”

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confidence: 99%