• Address O-5-A, Adinath Marg, C-Scheme, Jaipur, Rajasthan

What is the procedure?

In PTBD the interventional radiologist will first screen you under USG guidance to look for dilated ducts and to decide the site of tube placement (left or right). After deciding the site doctor will numb that area using local anaesthetic so that procedure is painless. Then under USG or Fluoroscopic (X ray) guidance the doctor will put the drainage pipe in your ducts so that bile can freely flow and yours symptoms can be decreased

What are the indications?

  1. Adequate biliary drainage in patients with dilated ducts(jaundice)
  2. Establish biliary assess to
  3. Dilate biliary strictures
  4. Remove bile duct stones
  5. Stent placement
  6. Brachytherapy (cancer treatment)
  7. Managing the post-operative leaks

What are the contraindications?

Patients with bleeding disorders. Pts with ascites (fluid in the abdomen) and multiple cysts in the liver may need additional work up/treatment before the procedure.

What are complications?

  1. Bleeding
  2. Infection

What is the post procedure?

Courtesy: https://www.insideradiology.com.au/biliary-drainage/

We will keep 4 hours under observation to look for any complications and then you can go home.

Diagram

Courtesy: https://www.insideradiology.com.au/biliary-drainage/

References:

Percutaneous biliary intervention: tips and tricks

Abanti Das, Vinit Baliyan, Shivanand Gamanagatti, Arun Kumar Gupta

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi-110029, India.

DOIhttp://dx.doi.org/10.7869/tg.403

Indian J Palliat Care. 2016 Oct-Dec; 22(4): 378–387.

doi: 10.4103/0973-1075.191746: 10.4103/0973-1075.191746

PMCID: PMC5072228

PMID: 27803558

Current Status of Percutaneous Transhepatic Biliary Drainage in Palliation of Malignant Obstructive Jaundice: A Review

Call Now
×