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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| 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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| _version_ | 1832564383167807488 |
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| author | R Gray |
| author_facet | R Gray |
| author_sort | R Gray |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1136774585e44c4fb9e1994a49adecdb |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 1990-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-1136774585e44c4fb9e1994a49adecdb2025-02-03T01:11:10ZengWileyCanadian Journal of Gastroenterology0835-79001990-01-014957958710.1155/1990/412907Percutaneous Biliary Drainage with Emphasis on Hilar LesionsR GrayThe 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.http://dx.doi.org/10.1155/1990/412907 |
| spellingShingle | R Gray Percutaneous Biliary Drainage with Emphasis on Hilar Lesions Canadian Journal of Gastroenterology |
| title | Percutaneous Biliary Drainage with Emphasis on Hilar Lesions |
| title_full | Percutaneous Biliary Drainage with Emphasis on Hilar Lesions |
| title_fullStr | Percutaneous Biliary Drainage with Emphasis on Hilar Lesions |
| title_full_unstemmed | Percutaneous Biliary Drainage with Emphasis on Hilar Lesions |
| title_short | Percutaneous Biliary Drainage with Emphasis on Hilar Lesions |
| title_sort | percutaneous biliary drainage with emphasis on hilar lesions |
| url | http://dx.doi.org/10.1155/1990/412907 |
| work_keys_str_mv | AT rgray percutaneousbiliarydrainagewithemphasisonhilarlesions |