Ultrasound-guided PTCD combined with ERCP for the treatment of malignant obstructive jaundice:initial experience in 10 cases
10.3969/j.issn.1008-794X.2015.03.010
- VernacularTitle:超声引导下PTCD与ERCP联合治疗恶性梗阻性黄疸十例
- Author:
Zhuang JIN
;
Junying CAO
;
Yun ZHANG
;
Huihong CAI
;
Ziyu LI
- Publication Type:Journal Article
- Keywords:
ultrasound-guided percutaneous transhepatic cholangial drainage;
endoscopic retrograde cholangio-pancreatography;
combination operation;
obstructive jaundice
- From:
Journal of Interventional Radiology
2015;(3):223-225
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of ultrasound-guided percutaneous transhepatic cholangial drainage (PTCD) combined with endoscopic retrograde cholangio-pancreatography (ERCP) in treating malignant obstructive jaundice, and to discuss its technical points. Methods A total of ten cases with malignant biliary obstruction were enrolled in this study. After the failure of ERCP treatment, the patients had to be treated with ultrasound-guided PTCD immediately. The guide-wire was inserted into the duodenum through intrahepatic bile duct and common bile duct to connect with ERCP, which was followed by the biliary stent implantation or the removal of physical factors causing obstruction. The clinical results were analyzed. Results Technical success was obtained in all 10 cases. In the patients who underwent a successful guide-wire docking with ERCP the postoperative serum bilirubin was significantly decreased. The main complications were fever, elevation of amylase and transient bloody bile. Conclusion With the help of docking technique the combination use of ultrasound-guided PTCD and ERCP is a new tentative treatment for malignant obstructive jaundice after the failure of initial ERCP treatment. This technique carries promising value in clinical practice as it can significantly increase the success rate of ERCP.
