A new method for internal biliary drainage in malignant obstructive jaundice. Intrahepatic cholangioenteric bypass via PTCD fistula.
A new surgical method for internal biliary drainage was devised, consisting of percutaneous transhepatic cholangio-drainage (PTCD) and Roux-en-Y anastomosis. The PTCD fistula is connected to the jejunostomy by a drainage catheter buried in the subcutaneous space. As compared with conventional methods for surgical internal biliary drainage, this method has the following advantages: It can be easily performed even when other types of internal drainage are not feasible, the catheter can readily be changed if it becomes obstructed, and percutaneous cholangiography, irrigation or drug infusion can be performed at any time via the drainage catheter.
D000230:Adenocarcinoma / Q000150:complications / Q000628:therapy*; D001658:Biliary Fistula; D002404:Catheterization / Q000379:methods; D002758:Cholangiography; D002780:Cholestasis, Intrahepatic / Q000209:etiology / Q000628:therapy*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008113:Liver Neoplasms / Q000150:complications / Q000628:therapy*; D008875:Middle Aged; D010166:Palliative Care