Jul 31, 2007

Analysis of percutaneous transhepatic cholangioscopy-related complications and the risk factors for those complications

Endoscopy
H-C OhM H Kim

Abstract

Percutaneous transhepatic cholangioscopy (PTC) is being increasingly used for patients with biliary tract diseases. The aim of this study was to assess the safety of this procedure, and we systematically analyzed PTC-related complications and the risk factors for those complications. A total of 364 patients who underwent PTC were included in the study. The initial diagnoses, the indications for PTC, the complications that occurred during the procedures, and the risk factors for these complications were retrospectively analyzed. The overall incidence of complications was 12.9 % for percutaneous transhepatic biliary drainage (PTBD), 12.8 % for tract dilation, and 6.9 % for tract maturation. Complications developed in 58/848 PTC sessions (6.9 %). Cholangitis and bacteremia were associated with PTBD and tract dilation, catheter migration and blockage with tract maturation, and bile duct injury with PTC. Mild complications occurred in 80 patients (22.2 %) during the preparation stages and in 43 sessions (5.1 %) during the PTC itself. Severe complications, including severe hemobilia, hemoperitoneum, rupture of the sinus tract, and ductal injury developed in 17 patients (4.7 %) during the preparation period, and in 15 patients (4.1 %)...Continue Reading

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Mentioned in this Paper

perfluoro-2,2,2',2'-tetramethyl-4,4'-bis(1,3-dioxolane)
Biliary Tract Diseases
Inflammatory Perforation
Pathological Dilatation
Biologic Development
Nontraumatic Hemoperitoneum
Bile Duct Structure
Tomography, X-Ray Computerized Axial
Surgical Procedures, Minimally Invasive
Digestive System Endoscopic Surgical Procedures

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