Internal-External Percutaneous Transhepatic Biliary Drainage for Patients with Malignant Obstructive Jaundice

Abstract

Asian Pac J Cancer Prev, 15 (21), 9391-9394 IntroductionPercutaneous transhepatic biliary drainage is becoming more and more useful as a palliative treatment for patients with malignant obstructive jaundice, which could not only significantly reduce bilirubin levels, improve liver function and prolong survival time, but also be used as a preoperative drainage, provide the conditions for subsequent treatment (Boursier et al., 2009;Herzog et al., 2012;Kaya et al., 2012;Zhu et al., 2012). In our center, if the guide wire could pass through the occlusion and into the duodenum, we prefer to use internal-external drainage, while the occlusion is not crossed, external drainage biliary catheter is placed. We think that internal-external drainage in the treatment of malignant obstructive jaundice not only could lead bile flow into intestine, maintain the physical channel of bile drainage, also decline bilirubin level quickly which is beneficial to the recovery of liver function and reduce the gastrointestinal complications caused by lack of bile. In order to evaluate the efficacy of this kind of treatment, we collect patients with malignant obstructive jaundice receiving this procedure in 2008-2013.

Metallic Stent Placement Versus Catheter Drainage for Malignant Bilioenteric Anastomotic Stricture

“…Furthermore, infection was found to be more frequent as the cause of death in the Catheter group. This may be resulted from ex vitro infection tracking along the drainage catheter [17,18].…”

Retrospective analysis of the efficacy of percutaneous transhepatic biliary drainage in palliation of obstructive jaundice in patients with carcinoma gall bladder: Experience from tertiary care center in Northern India

“…Various other studies also have reported cholangitis as the main complication.Teixeira et al, in their study of 71 patients with MBO reported cholangitis in 66.2% of cases 10. Xu et al, reported incidence of new biliary infection after internal-external biliary drainage reached 47.6% in their study of 42 patients with MBO 12. Sut et al., in their study of 21 patients with MBO had had cholangitis in 19% patients after PTBD.…”

FDG-PET/CT Manifestation of Tumor Seeding Along Percutaneous Biliary Drainage Catheter Tract

“…1 Percutaneous transhepatic biliary drainage catheters have been widely used in clinical practice to relieve malignant obstructive jaundice. 2 Only a few case reports of tumor seeding from percutaneous biliary drainage catheter placement have been reported in the literature, [3][4][5][6][7][8] raising the possibility that tract seeding may be an underdiagnosed complication of percutaneous biliary drainage catheter placement. As FDG PET/CT is routinely used in clinical surveillance during a cancer patient's treatment process, it is of high importance to have a complete history of the patient's previous interventional procedures.…”