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Percutaneous transhepatic biliary drainage: analysis of 175 cases

Journal Article:

Abstract

Percutaneous transhepatic biliary drainage is a safe, effective and palliative means of treatment in biliary obstruction, especially in cases with malignant obstruction which are inoperable. 175 cases of transhepatic biliary drainage were performed on 119 patients with biliary obstruction from January 1985 to June 1989 at Kyung-pook National University Hospital. The causes of obstructive jaundice were 110 malignant diseases and 9 benign diseases. The most common indication for drainage was palliative intervention of obstruction secondary to malignant tumor in 89 cases. 86 cases of external drainage were performed including 3 cases of left duct approach, 29 cases of external-internal drainage and 60 cases of endoprosthesis. In external and external-internal drainages, immediate major complications (11.9%) occurred, including not restricted to, but sepsis, bile peritonitis and hemobilia. Delayed major complications (42.9%) were mainly catheter related. The delayed major complication of endoprosthesis resulted from obstruction of the internal stent. The mean time period to reobstruction of the internal stent was about 12 weeks. To improve management status, regular follow-up is required, as is education of both patients and their families as to when immediate clinical attention is mandated. Close communication amongst the varying medical specialities involved will be necessary to provide optional treatment  More>>
Authors:
Suh, Kyung Jin; Lee, Sang Kwon; Kim, Tae Hun; Kim, Yong Joo; Kang, Duk Sik [1] 
  1. College of Medicine, Kyungpook National Univ., Daegu (Korea, Republic of)
Publication Date:
Oct 15, 1990
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 26; Journal Issue: 4; Other Information: 29 refs, 1 fig, 5 tabs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BILIARY TRACT; DRAINAGE; JAUNDICE; NEOPLASMS; PATIENTS; PROSTHESES
OSTI ID:
21243697
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 0301-2867; DBSHAH; TRN: KR0903879105736
Submitting Site:
KRN
Size:
page(s) 632-639
Announcement Date:
Dec 23, 2009

Journal Article:

Citation Formats

Suh, Kyung Jin, Lee, Sang Kwon, Kim, Tae Hun, Kim, Yong Joo, and Kang, Duk Sik. Percutaneous transhepatic biliary drainage: analysis of 175 cases. Korea, Republic of: N. p., 1990. Web.
Suh, Kyung Jin, Lee, Sang Kwon, Kim, Tae Hun, Kim, Yong Joo, & Kang, Duk Sik. Percutaneous transhepatic biliary drainage: analysis of 175 cases. Korea, Republic of.
Suh, Kyung Jin, Lee, Sang Kwon, Kim, Tae Hun, Kim, Yong Joo, and Kang, Duk Sik. 1990. "Percutaneous transhepatic biliary drainage: analysis of 175 cases." Korea, Republic of.
@misc{etde_21243697,
title = {Percutaneous transhepatic biliary drainage: analysis of 175 cases}
author = {Suh, Kyung Jin, Lee, Sang Kwon, Kim, Tae Hun, Kim, Yong Joo, and Kang, Duk Sik}
abstractNote = {Percutaneous transhepatic biliary drainage is a safe, effective and palliative means of treatment in biliary obstruction, especially in cases with malignant obstruction which are inoperable. 175 cases of transhepatic biliary drainage were performed on 119 patients with biliary obstruction from January 1985 to June 1989 at Kyung-pook National University Hospital. The causes of obstructive jaundice were 110 malignant diseases and 9 benign diseases. The most common indication for drainage was palliative intervention of obstruction secondary to malignant tumor in 89 cases. 86 cases of external drainage were performed including 3 cases of left duct approach, 29 cases of external-internal drainage and 60 cases of endoprosthesis. In external and external-internal drainages, immediate major complications (11.9%) occurred, including not restricted to, but sepsis, bile peritonitis and hemobilia. Delayed major complications (42.9%) were mainly catheter related. The delayed major complication of endoprosthesis resulted from obstruction of the internal stent. The mean time period to reobstruction of the internal stent was about 12 weeks. To improve management status, regular follow-up is required, as is education of both patients and their families as to when immediate clinical attention is mandated. Close communication amongst the varying medical specialities involved will be necessary to provide optional treatment for each patient.}
journal = {Journal of the Korean Radiological Society}
issue = {4}
volume = {26}
place = {Korea, Republic of}
year = {1990}
month = {Oct}
}