Percutaneous drainage and stenting for palliation of malignant bile duct obstruction.
European radiology, Mar 2008 (epub: 25 Oct 2007), vol. 18, no. 3, p. 448-56, 62 refs
van-Delden-Otto-M, Lameris-Johan-S.
Abstract
Percutaneous biliary drainage and stenting (PTBD) for palliation of malignant obstructive jaundice has evolved to a safe and effective technique. PTBD is equally effective for treatment of distal and proximal bile obstruction. Metal self-expandable stents have proved superior to plastic stents and should therefore be used. Technical success is >90% en clinical success is >75% in all major series. There are a considerable number of complications, but most can be treated conservatively and procedure-related mortality is <2%>10% in many series, but this is largely due to the underlying disease. About 10-30% of patients will have recurrent jaundice at some point in their disease after PTBD and require re-intervention.