Percutaneous Trans-Hepatic Biliary Drainage In Kurdistan Center For Gastroenterology And Hepatology
DOI:
https://doi.org/10.56056/amj.2015.01Keywords:
Cholangiocarcinoma, Obstructive jaundiceAbstract
Background and ObjectivesPercutaneous trans-hepatic biliary drainage (PTBD) is an invasive, effective therapeutic method of relieving benign or malignant biliary obstruction and lifesaving if the patient is septic. Moreover, PTBD is indicated in most conditions, when failed ERCP and/or ERCP are not feasible. Our objective is to investigate the impact and effectiveness of PTBD in the management of obstructive jaundice
Patients and MethodsA Prospective clinical study extended from February 2013- October 2013 and included 32 patients who were referred for PTBD to KCGH in Sulaimania city. All patients were meet inclusion criteria for PTBD. After the procedure, all of them had follow-ups.
ResultsThirty-two patients (19 females and 13 male), with a mean age of 62.25 years were included, with the etiology of the obstructive jaundice being cholangiocarcinoma, pancreatic mass; porta hepatis lymph node, gallbladder carcinoma, and peri ampullary tumor were (44%, 31%, 9.5%, 9.5%, and 6%) respectively. Metallic stent, external - internal catheter and dilatation were inserted in 65.5%, 31.5% and 3% respectively. Intra procedurally 90.6% had pain and post procedurally had pain, bleeding, and cholangitis (64.5%, 3.2%, and 3.2%) respectively. There was a significant difference between the pre, and post procedures of (ALT, AST, ALP, TSB, and Direct Bilirubin), with P values 0.001, 0.003, 0.001, 0.001, and 0.001 respectively.
ConclusionsPTBD is effective, and relatively safe, with the desired outcome in the management of obstructive jaundice when other lines of treatment are not effective or possible
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