Relief of Obstructive Jaundice Through Percutaneous Transhepatic Catheter— A New Therapeutic Method

Molnar, William; Stockum, Alfred E.

doi:10.2214/ajr.122.2.356

Cited by 205 publications

(62 citation statements)

References 1 publication

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“…Type IV lesion are generally considered to be unresectable (6). Approximately 80% to 90% of these patients will be found unresectable (3,7,10,11). Prognosis of latter patients is dismal.…”

Section: The Treatment Options In Malignant Biliary Obstructionmentioning

confidence: 99%

“…Among these patients, some will survive only a few weeks, most will die within six months, but some may survive in a fairly good condition for one or even several years (12). Reported median survival is 3-10 months (3,8,11,13).…”

Section: The Treatment Options In Malignant Biliary Obstructionmentioning

confidence: 99%

“…PTBS is recommended in patients with nonresectable tumors or poor general condition when surgery is not recommended, as well as in patients with an obstruction due to recurrent malignant biliary obstruction (4,6,11,16). PTBS in distal bile duct obstruction is a secondary tool and is in general reserved for cases where endoscopic retrograde cholangiopancreatography (ERCP) fails or is technically not feasible (13,16).…”

Section: Indications For Ptbsmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous transhepatic biliary stenting: The first experience and results of the Hospital of Kaunas University of Medicine

Dambrauskas¹,

Paškauskas²,

Lizdenis³

et al. 2008

Medicina

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“…Type IV lesion are generally considered to be unresectable (6). Approximately 80% to 90% of these patients will be found unresectable (3,7,10,11). Prognosis of latter patients is dismal.…”

Section: The Treatment Options In Malignant Biliary Obstructionmentioning

confidence: 99%

Section: The Treatment Options In Malignant Biliary Obstructionmentioning

confidence: 99%

Section: Indications For Ptbsmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous transhepatic biliary stenting: The first experience and results of the Hospital of Kaunas University of Medicine

Dambrauskas¹,

Paškauskas²,

Lizdenis³

et al. 2008

Medicina

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“…Twenty years ago Molnar and Stockum [1] described the technique of internal catheter drainage as a new palliative treatment for patients with malignant biliary obstruction. Until today this type of internal bile drainage, having the advantage of easy accessibility in the case of blockage, is used in selected cases.…”

Section: Introductionmentioning

confidence: 99%

Metal Stents for Malignant Biliary Obstruction

Stoker²

1994

Dig Dis

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The main problem in the palliative treatment of malignant biliary obstruction is recurrent jaundice and cholangitis due to clogging of the endoprostheses. Large-bore metal stents, which can be placed using small-sized delivery systems, have been recognized as an important gain. Their use has facilitated the percutaneous drainage procedure. The long-term patency rates of both endoscopically and percutaneously placed metal stents seem to be better than those of conventional stents. Although the long-term economical aspects are in favor of metal stents due to the decreased need for readmissions and reinterventions, the high initial costs of metal stents constitute the main obstacle to their wide-spread use.

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“…PTCD is partic ularly important as a palliative maneuver for the treat ment of malignant biliary tract obstruction [1][2][3]. How ever, patients with incurable malignant obstruction of the biliary tree always experience significant problems as a result of total bile drainage, including water-electro lyte imbalances and poor digestion and absorption in the absence of bile juice in the intestinal tract.…”

Section: Introductionmentioning

confidence: 99%

Relief of Inoperable Malignant Obstructive Jaundice following the Conversion of Percutaneous Transhepatic Bile Drainage to Internal Drainage

Ikei¹,

Yamaguchi²,

Katafuchi³

et al. 1991

Dig Surg

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Patients with malignant obstructive jaundice were treated by converting percutaneous transhepatic cholangio-drainage (PTCD) to internal drainage, using a new apparatus and technique. All patients had unresectable neoplasms. This procedure was devised because of the disadvantages of permanent percutaneous external drainage, and it was indicated when palliative surgical drainage was unsuccessful. No severe complications were encountered, except for cholangitis in 2 cases. Many patients remained stable during several months of close clinical monitoring as outpatients. We concluded that nonsurgical diversion of PTCD to internal drainage is safe and effective for palliative decompression of bile ducts in patients with inoperable malignant obstructive jaundice.

show abstract

Relief of Obstructive Jaundice Through Percutaneous Transhepatic Catheter— A New Therapeutic Method

Cited by 205 publications

References 1 publication

Percutaneous transhepatic biliary stenting: The first experience and results of the Hospital of Kaunas University of Medicine

Percutaneous transhepatic biliary stenting: The first experience and results of the Hospital of Kaunas University of Medicine

Metal Stents for Malignant Biliary Obstruction

Relief of Inoperable Malignant Obstructive Jaundice following the Conversion of Percutaneous Transhepatic Bile Drainage to Internal Drainage

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