Stent implantation through butt joint of PTBD and ERCP for the treatment of obstructive jaundice
- VernacularTitle:经皮经肝胆管引流术与ERCP对接胆道支架植入术治疗梗阻性黄疸
- Author:
Yingdi LIU
;
Zhiqiang WANG
;
Xiangdong WANG
- Publication Type:Journal Article
- Keywords:
jaudice, obstructive;
percutaneous transhepatic biliary drainage;
cholangio-pancreatography, endoscopic retrograde
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the technique and to evaluate the clinical value of stent implantation by butt joint of percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangio-pancreatography (ERCP) for the treatment of obstructive jaundice. Methods 24 patients with obstructive jaundice were treated by butt joint of PTBD and ERCP after the ERCP failure, and the clinical results were evaluated. Results A total of 24 cases with obstructive jaundice were successfully operated by butt joint of PTBD and ERCP. In PTBD, 10 cases were punctured from right side, and 14 cases were from left side. PTBD, ERCP and butt joint were done simultaneously in 16 cases, and separately in 8 cases. The total serum bilirubin decreased by 47.07 in 4 days, and the direct bilirubin decreased by 45.43. Infection of biliary tract was the main complication. Conclusion Stent implantation by butt joint of PTBD and ERCP for the treatment of obstructive jaundice may be chosen to treat the patients who failed in ERCP alone.
