Vol 63, No 3 (2004)
Short communication
Submitted: 2012-02-06
Published online: 2004-06-04
The use of modern techniques of biliary tract monitoring in percutaneous drainage
B Ciesielczyk, M Nowik
Folia Morphol 2004;63(3):343-345.
Vol 63, No 3 (2004)
SHORT COMMUNICATIONS
Submitted: 2012-02-06
Published online: 2004-06-04
Abstract
The aim of this work is to assess the usefulness of current imaging techniques of
biliary tracts in percutaneous transhepatic biliary drainage (PTBD). In the period
from January 1996 to March 2003 44 cases of PTBD were carried out under
ultrasonographic and X-ray control in 34 patients who could not have a bypass
or endoscopic prothesis of the bile duct. The effectiveness of the method was
evaluated in relation to the extent of the intra-hepatic bile ducts, the usefulness
of simultaneous monitoring (ultrasonography and X-ray) and the possibility of
preoperative contrasting of the bile ducts. Correct drainage of bile ducts was
achieved in 43 PTBD. In 6 cases branches of the portal vein were pierced during
drainage, but thanks to X-ray visualisation this was detected and the bile ducts
were then drained correctly. During 4 PTBD the grooved probe slipped from bile
ducts while the catheter was being introduced and a repeated prick was necessary.
Total cholestasis caused by a tumour does not always bring about extension
of bile ducts. However, simultaneous ultrasonographic and X-ray imaging
of the bile ducts enables PTBD to be performed even in patients with a slight
extension of the duct.
Abstract
The aim of this work is to assess the usefulness of current imaging techniques of
biliary tracts in percutaneous transhepatic biliary drainage (PTBD). In the period
from January 1996 to March 2003 44 cases of PTBD were carried out under
ultrasonographic and X-ray control in 34 patients who could not have a bypass
or endoscopic prothesis of the bile duct. The effectiveness of the method was
evaluated in relation to the extent of the intra-hepatic bile ducts, the usefulness
of simultaneous monitoring (ultrasonography and X-ray) and the possibility of
preoperative contrasting of the bile ducts. Correct drainage of bile ducts was
achieved in 43 PTBD. In 6 cases branches of the portal vein were pierced during
drainage, but thanks to X-ray visualisation this was detected and the bile ducts
were then drained correctly. During 4 PTBD the grooved probe slipped from bile
ducts while the catheter was being introduced and a repeated prick was necessary.
Total cholestasis caused by a tumour does not always bring about extension
of bile ducts. However, simultaneous ultrasonographic and X-ray imaging
of the bile ducts enables PTBD to be performed even in patients with a slight
extension of the duct.
Keywords
congestive jaundice; drainage of biliary tracts; operative ultrasonography
Title
The use of modern techniques of biliary tract monitoring in percutaneous drainage
Journal
Folia Morphologica
Issue
Vol 63, No 3 (2004)
Article type
Short communication
Pages
343-345
Published online
2004-06-04
Page views
427
Article views/downloads
1242
Bibliographic record
Folia Morphol 2004;63(3):343-345.
Keywords
congestive jaundice
drainage of biliary tracts
operative ultrasonography
Authors
B Ciesielczyk
M Nowik
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