Indian Journal of Palliative Care
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 REVIEW ARTICLE
Year : 2016  |  Volume : 22  |  Issue : 4  |  Page : 378--387

Current status of percutaneous transhepatic biliary drainage in palliation of malignant obstructive jaundice: A review


1 Department of Radio diagnosis, All India Institute of Medical Sciences, New Delhi, India
2 Department of Onco anaesthesiology and Palliative Care, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
S H Chandrashekhara
Department of Radio diagnosis, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.191746

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Malignancies leading to obstructive jaundice present too late to perform surgery with a curative intent. Due to inexorably progressing hyperbilirubinemia with its consequent deleterious effects, drainage needs to established even in advanced cases. 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 complications. In addition, there is a reduction in immediate procedure-related mortality with proven survival benefit. Nonetheless, it is the only imminent lifesaving procedure in cholangitis and sepsis.






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Online since 1st October '05
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