Pre-operative biliary drainage in patients with obstructive jaundice. A comparison of the percutaneous transhepatic and endoscopic transpapillary routes.
Pre-operative biliary drainage may reduce the mortality and morbidity associated with surgery in the patient with obstructive jaundice. It is possible to drain the bile duct via two routes pre-operatively The transhepatic route was used in 12 patients and the papillary route in 8. Only 1 patients died in the postoperative period. Transhepatic drainage was found suitable for routine use in patients with a dilated biliary tree, in particular in those with unresponsive cholangitis. Transpapillary drainage is not suitable for routine use but has a place in short-term drainage in patients with mild jaundice and cholangitis caused by gallstones in the bile duct.
D001646:Bile / Q000032:analysis; D001652:Bile Ducts / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000601:surgery; D002404:Catheterization / Q000009:adverse effects / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D002779:Cholestasis / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D006801:Humans; D011300:Preoperative Care / Q000379:methods