Percutaneous transhepatic biliary drainage in the management of postsurgical biliary leaks in patients with nondilated intrahepatic bile ducts

Cardiovascular and Interventional Radiology
Guido CozziVincenzo Mazzaferro

Abstract

To assess the feasibility of percutaneous transhepatic biliary drainage (PTBD) for the treatment of postsurgical biliary leaks in patients with nondilated intrahepatic bile ducts, its efficacy in restoring the integrity of bile ducts, and technical procedures to reduce morbidity. Seventeen patients out of 936 undergoing PTBD over a 20-year period had a noncholestatic liver and were retrospectively reviewed. All patients underwent surgery for cancer and suffered a postsurgical biliary leak of 345 ml/day on average; 71% were in poor condition and required permanent nutritional support. An endoscopic approach failed or was excluded due to inaccessibility of the bile ducts. Established biliary leaks and site of origin were diagnosed an average of 21 days (range 1-90 days) after surgery. In all cases percutaneous access to the biliary tree was achieved. An external (preleakage) drain was applied in 7 cases, 9 patients had an external-internal fistula bridging catheter, and 1 patient had a percutaneous hepatogastrostomy. Fistulas healed in an average of 31 days (range 3-118 days ) in 15 of 17 patients (88%) following PTBD. No major complications occurred after drainage. Post-PTBD cholangitis was observed in 6 of 17 patients (35%) and...Continue Reading

References

Jan 1, 1991·Cancer Investigation·A W Hamburger
Mar 1, 1991·Cardiovascular and Interventional Radiology·J P VaccaroR E Lambiase
Nov 1, 1988·Radiology·C CopeJ K Weinstein
Oct 1, 1988·Annals of Surgery·S Iwatsuki, T E Starzl
May 1, 1985·AJR. American Journal of Roentgenology·S L KaufmanR I White
Jul 1, 1980·AJR. American Journal of Roentgenology·W P Harbin, J T Ferrucci
Oct 1, 1980·AJR. American Journal of Roentgenology·E C MartinW J Casarella
Jan 1, 1981·Cancer·A B MillerA Winkler
Mar 1, 1994·International Journal of Radiation Oncology, Biology, Physics·M E Alden, M Mohiuddin
Sep 1, 1993·Journal of Vascular and Interventional Radiology : JVIR·V J HarrisD W Crist
May 1, 1996·Cardiovascular and Interventional Radiology·C L'HermineG Sergent
Sep 1, 1995·Cardiovascular and Interventional Radiology·L Tipaldi
Jul 1, 1997·The Australian and New Zealand Journal of Surgery·J A HuntG R Shiel
Mar 21, 1998·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Y KrukhaugT Strand
Oct 20, 1999·European Radiology·P PavoneR Passariello
Dec 10, 1999·AJR. American Journal of Roentgenology·B FunakiJ D Rosenblum
Jul 18, 2000·Journal of the American College of Surgeons·J BelghitiO Farges
Feb 15, 2001·Journal of Computer Assisted Tomography·K M VitellasJ G Bova

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Citations

Sep 13, 2006·Cardiovascular and Interventional Radiology·F SchelhammerG Fürst
May 30, 2007·Cardiovascular and Interventional Radiology·Cuneyt AytekinMehmet Haberal
Mar 6, 2008·Cardiovascular and Interventional Radiology·Elias N BrountzosAthanasios D Gouliamos
Oct 28, 2008·Cardiovascular and Interventional Radiology·Taral DoshiKarim Valji
May 9, 2008·Emergency Radiology·Gianpaolo CarrafielloCarlo Fugazzola
Jan 4, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jessica G ZarzourMary T Hawn
Sep 14, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Luca CozzaglioRoberto Doci
Sep 1, 2006·Seminars in Interventional Radiology·Kent T Sato
Jun 13, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Rajeev Sinha, Sharad Chandra
Feb 18, 2009·World Journal of Gastroenterology : WJG·Roberto MiragliaBruno Gridelli
Jan 15, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Giovanni Mauri, Luca Maria Sconfienza
Mar 28, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Roberto MiragliaBruno Gridelli
Nov 26, 2010·Journal of Vascular and Interventional Radiology : JVIR·Dong Il GwonHyun-Ki Yoon
Dec 25, 2007·Gastrointestinal Endoscopy·Vanessa M ShamiMichel Kahaleh
Jul 3, 2008·ANZ Journal of Surgery·Bhagwant R MittalBaljinder Singh
Apr 7, 2015·Gastrointestinal Endoscopy·Ryosuke TonozukaFuminori Moriyasu
Sep 30, 2016·Updates in Surgery·Dennis EurichD Seehofer
Mar 19, 2013·Nuclear Medicine Communications·Sasikumar ArunBhagwant R Mittal
Dec 8, 2015·World Journal of Gastroenterology : WJG·Hiroaki ShimizuMasaru Miyazaki
Mar 24, 2017·The Indian Journal of Surgery·Bhavesh PopatKrantikumar Rathod
Feb 6, 2017·Cardiovascular and Interventional Radiology·Christian WybranskiKatharina Fischbach
Jun 7, 2018·Cardiovascular and Interventional Radiology·Charles MastierAgnès Rode
Jan 17, 2017·Khirurgiia·O I OkhotnikovS N Grigoriev
Nov 7, 2015·Cardiovascular and Interventional Radiology·Felipe NasserFrancisco Leonardo Galastri
Mar 19, 2021·Abdominal Radiology·Ronald S ArellanoJonathan Lorenz
Apr 10, 2021·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Cristina MosconiRita Golfieri

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