Percutaneous transhepatic biliary drainage (PTBD) is therefore the procedure of choice for these patients as well as for those in whom endoscopic cannulation of the CBD has failed and for those patients who have persistent obstruction or leak despite endoscopic therapy .

2024年6月6日 · Traditionally, postoperative bile leakages are treated with an endoscopic approach via ERCP and percutaneous transhepatic approaches such as PTC and PTBD. ERCP with biliary stent insertion or PTBD is the primary and effective treatment for bile leakage.

Complications related to percutaneous biliary tract interventions (PBTIs) can range from access site discomfort to life-threatening vascular complications. These complications are relatively uncommon, and most of them are self-limiting.

PTBD is a feasible, safe, and effective treatment option in patients with biliary leakage with low complication rates. US-guided PTBD has high success rate in patients with nondilated biliary system. Major procedural complications are rare and interventionally manageable.

2024年11月1日 · PTBD placement is a minimally invasive procedure performed in an angio-suite usually after local anaesthesia and i.v. analgosedation under combined sonographic and fluoroscopic guidance, in which the PTBD is placed via the biliary system into the small intestine.

2012年11月23日 · Current surgical guidelines recommend PTBD in patients with nondilated bile ducts for the management of postoperative complications, such as failed anastomosis after pancreaticojejunectomy, failure of biliodigestive anastomoses, or postoperative leaks of the extrahepatic bile ducts [5].

Percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) are widely used palliative procedures each with its own merits and lacunae. With the current state-of-the-art PTBD technique consequent upon procedural and hardware improvement, it is equaling ERCP regarding technical success and ...

PTBD is a feasible, safe, and effective treatment option in patients with biliary leakage with low complication rates. Keywords: biliary leakage, biliodigestive anastomosis, hepaticojejunostomy, nondilated biliary ducts, percutaneous transhepatic biliary drainage. US-guided PTBD has high success rate in patients with nondilated biliary system.

2020年10月13日 · Percutaneous transhepatic biliary drainage (PTBD) and endoscopic retrograde cholangiopancreatography (ERCP) are widely used palliative procedures each with its own...

2018年5月1日 · Readers of this article will come to understand the pathophysiology and anatomy underlying post-PTBD bleeding, its incidence, its varied clinical manifestations and its initial management....