[Changing trends in percutaneous and endoscopic bile duct drainage].
Analysis of 1,104 non-surgical biliary drainages (600 ERCD, 531 PTCD) from 1983 to 1988 concerning changing frequency, indications and success rates. With a continuous increase of the total numbers, the fraction of percutaneous-transhepatic drainages has decreased to 28%. With increasing degree of difficulty and risk PTCD (90.9% success) is indicated primarily in case of impossible ERCD (85.9% success) and hilar benign and malign biliary obstruction for temporary or permanent biliary drainage. Both methods are complementary and are increasingly used for combined palliative drainage.
Münster
B
B
Schulz
H J
HJ
Münster
W
W
Otto
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002779:Cholestasis / Q000628:therapy*; D004322:Drainage / Q000639:trends*; D006801:Humans; D008875:Middle Aged
Trendwandel der perkutanen und endoskopischen Gallenwegsdrainagen.