Percutaneous Biliary Drainage with Emphasis on Hilar Lesions
The mortality rates of surgery and percutaneous transhepatic biliary drainage (PTHBD) are comparable. Long tenn studies show that delayed complications occur in the majority of cases of PTHBD and survival is not improved compared to surgery. The many recent advances in endoscopic and percutaneous dr...
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| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
1990-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/1990/412907 |
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| Summary: | The mortality rates of surgery and percutaneous transhepatic
biliary drainage (PTHBD) are comparable. Long tenn studies show that delayed
complications occur in the majority of cases of PTHBD and survival is not
improved compared to surgery. The many recent advances in endoscopic and
percutaneous drainage techniques and the recognition that the patient is best
served by a noncompetitive multidisciplinary approach will ensure that virtually
every patient obtains the most satisfactory drainage possible with a minimum of
risk and discomfort. Endoscopic drainage should be the first therapeutic option,
with radiologic assistance in the 15 to 25% where endoscopic drainage fails or is incomplete. |
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| ISSN: | 0835-7900 |