Biliary duct obstruction treatment with aid of percutaneous transhepatic biliary drainage

Peer review under responsibility of Alexandria University Faculty of Medicine.

Available online 19 August 2015

Figures & data

Figure 1 A 67-year-old patient. Percutaneous drainage of biliary ducts carried out on account of inoperable neoplasma infiltration of biliary tract. Fluoroscopy images demonstrating distal CBD obstruction (A) and state of biliary tracts after decompression (B).

Figure 2 Population structure.

Figure 3 Causes of biliary obstruction.

Figure 4 Location of biliary stricture.

Figure 5 A 69-year-old patient. Fluoroscopic images presenting following stages of placing the percutaneous transhepatic biliary drain.

Figure 6 Success of the procedure.

Figure 7 Repeat the procedure.

Figure 8 Bilirubin level before and after PBTD [μmol/l].

Figure 9 GGTP level before and after PBTD [UI/l].

Figure 10 ALP level before and after PBTD [UI/l].

Table 1 Complications during the procedure [%].

Intrahepatic bile ducts perforation	0.54
Hemobilia	3.76
Extrahepatic bile ducts perforation	1.08
Total	5.38

Table 2 Complications after the procedure [%].

Drain dislocation	4.30
Hemobilia	1.61
Peritonitis	0.54
Sepsis	0.54
Fluid cumulation	0.54
Biliary fistula	0.54
Total	8.06