Current Status of Percutaneous Transhepatic Biliary Drainage in Palliation of Malignant Obstructive Jaundice: A Review.
Malignancies leading to obstructive jaundice present too late to perform surgery with a curative intent. Due to inexorably progressing hyperbilirubinemia with its consequent deleterious effects, drainage needs to established even in advanced cases. Percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) are widely used palliative procedures each with its own merits and lacunae. With the current state-of-the-art PTBD technique consequent upon procedural and hardware improvement, it is equaling ERCP regarding technical success and complications. In addition, there is a reduction in immediate procedure-related mortality with proven survival benefit. Nonetheless, it is the only imminent lifesaving procedure in cholangitis and sepsis.
Department of Radio diagnosis, All India Institute of Medical Sciences, New Delhi, India.
S H
SH
Chandrashekhara
Department of Radio diagnosis, All India Institute of Medical Sciences, New Delhi, India.
S
S
Gamanagatti
Department of Radio diagnosis, All India Institute of Medical Sciences, New Delhi, India.
Anuradha
A
Singh
Department of Onco anaesthesiology and Palliative Care, All India Institute of Medical Sciences, New Delhi, India.
Sushma
S
Bhatnagar
Biliary stenting; Endoscopic retrograde cholangiopancreatography; Obstructive jaundice; Percutaneous transhepatic biliary drainage