Publication Details
Abstract
Background: Percutaneous transhepatic biliary drainage (PTBD) is an effective and widely used procedure in the management of biliary obstructions. Biliary obstruction can be of benign or malignant causes leading to impaired biliary drainage, obstruction of bile flow, elevated level of bilirubin, and associated complication and morbidity. PTBD offers patients a minimally invasive alternative to surgery, with the potential for immediate symptom relief and improvement of liver function.
Objectives: To assess the effectiveness of percutaneous transhepatic biliary drainage in the management of biliary obstruction.
Method: A total of 30 patients included in this study (16 males and 14 females) with a mean age of 60.1±14.604, the biliary obstruction was due to malignant causes in 16 patients and benign in 14 patients, out of 30 patients biliary drainage with internal external catheter performed in 21, external biliary drainage in 6 patients and combined (rendezvous) techniques in 3 cases, 30 days post-procedure follow up done to evaluate improvement in liver function test (LFT) and total serum bilirubin (TSB) levels, clinical symptoms and addressing procedure-related complications.
Results: A high technical success rate of 100% and a high clinical success rate of 100% in terms of reduction of LFT and TSB, improvement of the obstruction-related morbidities observed (P value < 0.001), no statically significance difference in procedure-related factors observed in the between RT and LT duct entry access also between benign and malignant biliary strictures (P value >0.5).
Conclusion: PTBD is an effective procedure for management of the patients with biliary obstruction, providing both diagnostic information and therapeutic relief. Its minimally invasive nature with high success rates. With appropriate care and follow-up, PTBD can significantly improve patient's quality of life and aid in the management of various conditions affecting the biliary system.