PERCUTANEOUS BILE DRAINAGE: COMPLICATIONS AND EFFICIENCY AT SHORT AND MEAN TERMS : ABOUT 50 CASES

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Vol. 87 No. 1 (2009): Issue Jan 2009

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Leila Ben Farhat
Service d'Imagerie Diagnostique et Interventionnelle de l'Hôpital Mongi Slim à La Marsa
Asma Ben Aicha
Service d'Imagerie Diagnostique et Interventionnelle de l'Hôpital Mongi Slim à La Marsa
Anis Askri
Service d'Imagerie Diagnostique et Interventionnelle de l'Hôpital Mongi Slim à La Marsa
Lassâad Dridi
Service d'Imagerie Diagnostique et Interventionnelle de l'Hôpital Mongi Slim à La Marsa
Lotfi Hendaoui
Service d'Imagerie Diagnostique et Interventionnelle de l'Hôpital Mongi Slim à La Marsa

Abstract

Purpose: Our purpose is to evaluate the efficiency and mean term complications in percutaneous bile drainage through a retrospective study of 50 cases
Methods:Fifty patients aged from 24 to 87 years underwent perecutaneous bile drainage in the Radiology Department of Mongi Slim hospital. Patients had external drainage, internal drainage or endoprotheses. Clinical and biological features were used to evaluate efficiency and complications.
Results:Bile drainage was successful in 49 cases. Intra hepatic bile ducts were dilated in most of the cases (40 patients). A right lobe puncture was performed preferentially (41 patients). Fifteen patients had endoprotheses, 3 patients had internal drainage and 31 patients had external drainage. Clinical and biological  improvement was noted in all patients. Complications were noted in 16 cases mainly in patients with neoplastic obstruction.
Conclusion: Percutaneous bile drainage is an effective method for the treatment of biliary obstruction. Complications are rare, occurring most frequently in patients with neoplastic obstruction.

Keywords:

Percutaneous bile drainage

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References

  1. Mathieson JR, Mc Loughlin RF, Cooperberg PL, Prystai CC, Stordy SN, Mc Farlane JK. Malignant obstruction of common bile duct: long term results of Gianturco-Rosch metal stebts used as initial treatment. Radiology 1994; 192: 663-7.
  2. Lee MJ, Dawson SL, Mueller PR, Sainin S, Hahn PF, Goldberg MA et al. Percutaneous management of hilar biliary malignancies with metallic endoprostheses: results, technical problems, and causes of failure. Radiographics 1993; 13: 1249-63.
  3. Dowsett JF, Vaira D, Hatfield AR et al. Endoscopic biliary therapy using the combined percutaneous and endoscopic route. Gastroenterology 1996; 96 : 1180-6.
  4. Gallacher DJ, Kadir S. Kaufman SL, et al. Nonoperative management of benign postoperative biliary strictures. Radiology 1985; 156: 625-9.
  5. Funaki B, Zaleski G, Strauss C et al. Percutaneous biliary drainage in patients with non dilated intrahepatic bile ducts. AJR 1999; 173: 1541-4.
  6. Ferrcci JT Jr, Mueller PR, Harbin WP. Percutaneous transhepatic biliary drainage: technique, results, and applications.Radiology 1980; 135:1-13.
  7. Hayashi N, Oyohiko S, Anabu K, Tatsuya K, Ika I, Asushi I. USguided Left-sided Biliary Drainage: Nine-year Experience. Radiology 1997; 204:119-22.
  8. Berquist TH, May GR, Johnson CM, AdsonMA, Thistle JL. Percutaneous biliary decompression: internal and external drainage in 50 patients. AJR 1981; 136: 901-6.
  9. Dooley JS, Dick R, George P, Kirk RM, Hobbs KE, Sherlock S. Percutaneous transhepatic endoprosthesis for bile duct obstruction. Complications and results. Gastroenterology 1984; 86: 905-9.
  10. Adam A, Chetty N, Roddie M, Yeung E, Benjamin IS. Selfexpandable stainless steel endoprostheses for treatment of malignant bile duct obstruction. AJR 1991; 156: 321-5.
  11. Lammer J, Klein GE, Kleinert R, Hausegger K, Einspieler R. Obstructive jaundice : use of expandable metal endoprothesis for biliary drainage. Radiology 1990; 177: 789-92.
  12. Davids PH, Groen AK, Raus EA, Tytgat NJ, Huibregtse K. Randomized trial of self expanding metal stent versus polyethylene stents for distal malignant biliary obstruction. Lancet 1992 ; 340 : 1488-92
  13. Vidal V, Ho CS, Petit P. Complications infectieuses précoces au cours des drainages biliaires percutanés transhépatiques. J Radiol 2004; 85:1707-9.
  14. Carrasco IT, Zernoza J, Bechtel WJ. Malignant biliary obstruction: complications of percutaneous biliary drainage. Radiology 1984; 152: 343-6.
  15. Savader SJ, Venbrux AC, Robbins KV, Gittelsohn AM, Osterman LA. Pancreatic Response to Percutaneous Biliary Drainage: A Prospective Study. Radiology 1991; 178:343-6.