Percutaneous transhepatic cholangiography with the Chiba needle in patients with biliary calculi

Journal Article · Tue Mar 01 04:00:00 EST 1983 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.146.3.6828676· OSTI ID:6252786

Juttijudata, P; Palavatana, C; Chiemchaisri, C; Churnratanakul, S

In a prospective study, 276 consecutive patients were evaluated using percutaneous transhepatic cholangiography (PTC) with a Chiba needle prior to surgery for cholestasis. Biliary calculi were diagnosed in 109 patients. The success rate was 92.4% overall, 93.6% among patients with biliary calculi, 83.3% in those with cholelithiasis, 97.3% in those with choledocholithiasis, and 100.0% in those with intrahepatic stones. The overall morbidity rate was 4.6%, including hemoperitoneum in 1.8% and bile leakage in 2.8%. There were no deaths. This technique offers a more definitive diagnosis than noninvasive procedures, especially with small calculi, but is also more traumatic. PTC may play an important role when noninvasive methods are inconclusive or in difficult cases, particularly following surgery on the common bile duct.

• Research Organization: Phra-Mongkutklao General Hospital, Bangkok, Thailand
• OSTI ID: 6252786
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 146:3; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BILIARY TRACT
BIOMEDICAL RADIOGRAPHY
CALCULI
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
MEDICINE
NUCLEAR MEDICINE
PATIENTS
RADIOLOGY