scholarly journals Indian College of Radiology and Imaging Evidence-Based Guidelines for Percutaneous Image-Guided Biliary Procedures

Author(s):  
Kumble Seetharama Madhusudhan ◽  
Valakkada Jineesh ◽  
Shyamkumar Nidugala Keshava

AbstractPercutaneous biliary interventions are among the commonly performed nonvascular radiological interventions. Most common of these interventions is the percutaneous transhepatic biliary drainage for malignant biliary obstruction. Other biliary procedures performed include percutaneous cholecystostomy, biliary stenting, drainage for bile leaks, and various procedures like balloon dilatation, stenting, and large-bore catheter drainage for bilioenteric or post-transplant anastomotic strictures. Although these procedures are being performed for ages, no standard guidelines have been formulated. This article attempts at preparing guidelines for performing various percutaneous image-guided biliary procedures along with discussion on the published evidence in this field.

1985 ◽  
Vol 144 (5) ◽  
pp. 1055-1058 ◽  
Author(s):  
SL Kaufman ◽  
S Kadir ◽  
SE Mitchell ◽  
R Chang ◽  
ML Kinnison ◽  
...  

2020 ◽  
Vol 4 (01) ◽  
pp. 31-37 ◽  
Author(s):  
Pankaj Gupta ◽  
Jyoti Gupta ◽  
Praveen Kumar-M

AbstractPercutaneous transhepatic biliary drainage (PTBD) is one of the commonly performed biliary interventions. In patients with obstructive jaundice, PTBD may be a lifesaving emergency procedure or may serve as an alternative intervention in patients who fail to undergo endoscopic drainage or those who are too sick to be considered for endoscopic drainage. The key factor in technical and clinical success of PTBD is a thorough preprocedure imaging evaluation. In this review, we highlight the imaging aspects that should be evaluated and reported by a radiologist when evaluating a patient planned for biliary drainage.


2019 ◽  
Vol 2 (1) ◽  
pp. 18-26
Author(s):  
Piyapan Prueksapanich

Despite the presence of non-invasive alternatives, liver biopsy remains the indispensable standard for the diagnosis of many liver diseases, and also provides information for prognostic evaluation and clinical therapeutic decision. Ultrasound guidance has become standard practice for percutaneous liver biopsy and also other percutaneous biliary interventions. Ultrasound offers a number of advantages including its real-timed guidance, lack of radiation exposure, inexpensiveness and the ability to perform at the bedside. In this review, I discuss the indications, contraindications, equipment and procedure, possible complications and post-procedural care for the ultrasound-guided hepatic procedures including percutaneous liver biopsy, percutaneous transhepatic biliary drainage, percutaneous cholecystostomy, percutaneous catheter drainage and needle aspiration.   Figure 1 การใช้คลื่นเสี่ยงความถี่สูงนำทางเข็มระหว่างการเจาะชิ้นเนื้อตับ


1986 ◽  
Vol 73 (9) ◽  
pp. 716-719 ◽  
Author(s):  
D. Foschi ◽  
G. Cavagna ◽  
F. Callioni ◽  
E. Morandi ◽  
V. Rovati

2016 ◽  
Vol 101 (1-2) ◽  
pp. 78-83 ◽  
Author(s):  
Ki-Han Kim ◽  
Ho-Byoung Lee ◽  
Sung-Heun Kim ◽  
Min-Chan Kim ◽  
Ghap-Joong Jung

The aim of this study was to elucidate the role of percutaneous transhepatic biliary drainage (PTBD) in patients with duodenal stump leakage (DSL) and afference loop syndrome (ALS) postgastrectomy for malignancy or benign ulcer perforation. Percutaneous transhepatic biliary drainage (PTBD) is an interventional radiologic procedure used to promote bile drainage. Duodenal stump leakage (DSL) and afferent loop syndrome (ALS) can be serious complications after gastrectomy. From January 2002 through December 2014, we retrospectively reviewed 19 patients who underwent PTBD secondary to DSL and ALS postgastrectomy. In this study, a PTBD tube was placed in the proximal duodenum near the stump or distal duodenum in order to decompress and drain bile and pancreatic fluids. Nine patients with DSL and 10 patients with ALS underwent PTBD. The mean hospital stay was 34.3 days (range, 12 to 71) in DSL group and 16.4 days (range, 6 to 48) in ALS group after PTBD. A liquid or soft diet was started within 2.6 days (range, 1 to 7) in the ALS group and within 3.4 days (range, 0 to 15) in the DSL group after PTBD. One patient with DSL had PTBD changed, and 2 patients with ALS underwent additional surgical interventions after PTBD. The PTBD procedure, during which the tube was inserted into the duodenum, was well-suited for decompression of the duodenum as well as for drainage of bile and pancreatic fluids. This procedure can be an alternative treatment for cases of DSL and ALS postgastrectomy.


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