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Corresponding Author

Ahmed Hassan Noman Othman

Document Type

Original Article

Abstract

Background: The established image-guided procedure known as percutaneous transhepatic biliary drainage (PTBD) drains the obstructed bile duct system.

Aim: Evaluation of the efficacy and incidence of complications in PTBD-treated cases with obstructive jaundice.

Patients and methods: This prospective research was performed on thirty cases with distal malignant bile duct obstruction or hilum stricture confirmed by imaging studies or with surgically unrespectable neoplasm. Cases were referred to our radiology department through the general surgery and gastroenterology departments and the neighboring hospitals.

Results: Complications occurred in six patients (20%) during and immediately after post-procedure (till 24 h). Immediately after the operation: Hemobilia was observed in 5 cases, and dislocation was observed in one patient 30 days following the procedure; adverse events and complications occurred in 23.33% (n = 7), documented in the patient's medical record. Of these seven patients, 2 (6.66%) had drain dislocation, 4 (13.33%) reported dysfunction of the drain in the form of peri catheter leak, and 1 (3.33%) developed cholangitis. Mortality in post-procedure was 10% (n = 3). In the third week after the treatment, one death was reported. In addition, two patients died within 4 weeks of biliary drainage. The deaths were caused by severe bad general conditions and cancer cachexia.

Conclusion: Percutaneous transhepatic biliary drainage is a significant alternative to endoscopic drainage, an efficacious technique for decompression of the biliary tract. Mechanical jaundice reduces, and typical serum markers of cholestasis are reduced through percutaneous drainage of the biliary ducts.

Keywords

PTBD, Obstructive Jaundice, Cholestasis

Subject Area

Radiology & Radiodiagnosis

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