Therapeutic value of endoscopic ultrasound-guided biliary drainage for malignant obstructive jaundice after failed endoscopic retrograde cholangiopancreatography
10.3760/cma.j.issn.1007-5232.2017.04.005
- VernacularTitle:内镜超声下胆道引流在经内镜逆行胰胆管造影失败的恶性梗阻性黄疸中的价值
- Author:
Ping HUANG
;
Xiaofeng ZHANG
;
Wen LYU
;
Songmei LOU
;
Nan JIANG
- Keywords:
Jaundice,obstructive;
Endoscopic ultrasound-guided biliary drainage;
Percutaneous transhepatic cholangial drainage
- From:
Chinese Journal of Digestive Endoscopy
2017;34(4):246-249
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the therapeutic effect of EUS-guided biliary drainage (EUS-BD) on patients with malignant obstructive jaundice when ERCP failed.Methods From January 2014 to January 2016,all patients with malignant obstructive jaundice during hospitalization underwent EUS-guided biliary drainage (group A,36 cases) or PTCD treatment (group B,30 cases) by draw after failed ERCP.Operation success rate,liver function recovery time,complication rates,length of hospital stay and hospital costs were observed and compared.Results There was no significant difference in the operation success rates between two groups [94.44％ (34/36) VS 86.67％ (26/30),P＞0 05)].And there were significant differences in liver function recovery time (25.79± 6.48 d VS 30.24 ± 8.49 d),incidence of complications [5.56％ (2/36) VS 23.33％ (7/30)],length of hospital stay (21.54±4.73 d VS 25.68 ± 8.56 d) and hospitalization costs (23.5±8.4 thousand yuan VS 32.8±6.5 thousand yuan,P＜0.05).Conclusion EUS-guided biliary drainage could be the first option for its noninvasiveness and efficacy,when ERCP failed in patients with malignant obstructive jaundice.
