Abstract
Biliary obstruction can result from various factors, including tumors arising from the bile ducts, the liver or adjacent structures such as pancreatic or gastric tumors and metastatic lymphadenopathy. When severe, biliary obstruction negatively impairs the quality of life, usually from symptoms of pruritis, not to mention the risk of cholangitis and sepsis. For these patients, percutaneous cholangiography is useful to help define the point and/or cause of obstruction. Percutaneous drainage of the biliary tree also offers palliation from the devastating symptoms of obstruction.
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Mendez GJ, Russell E, Levi J, Koolpe H, Cohen M. Percutaneous brush biopsy and internal drainage of biliary tree through endoprosthesis. AJR Am J Roentgenol. 1980;134:653–9.
Pugliese V, Barone D, Saccomanno S, Conio M, Aste H, Santi L. Tissue sampling from the common bile duct through endoscopic retrograde cholangiopancreatography, endoscopic papillo (sphinctero)tomy and drainage in juxtapapillary malignancies. Surg Endosc. 1987;1:83–7.
Rossi M, Cantisani V, Salvatori F, Rebonato A, Greco L, Giglio L, et al. Histologic assessment of biliary obstruction with different percutaneous endoluminal techniques. BMC Med Imaging. 2004;4:3.
Xing G, Geng J, Han XW, Dai JH, Wu CY. Endobiliary brush cytology during percutaneous transhepatic cholangiodrainage in patients with obstructive jaundice. Hepatobiliary Pancreat Dis Int. 2005;4:98–103.
Makuuchi M, Yamazaki S, Hasegawa H, Bandai Y, Ito T, Watanabe G. Ultrasonically guided cholangiography and bile drainage. Ultrasound Med Biol. 1984;10:617–23.
Lee W, Kim GC, Kim JY, Baik S, Lee HJ, Kim HJ, et al. Ultrasound and fluoroscopy guided percutaneous transhepatic biliary drainage in patients with nondilated bile ducts. Abdom Imaging. 2008;33:555–9.
Lameris J, Obertop H, Jeekel J. Biliary drainage by ultrasound-guided puncture of the left hepatic duct. Clin Radiol. 1985;36:269–74.
Wacker F, Faiss S, Reither K, Zimmer T, Wendt M, Wolf K. MR imaging-guided biliary drainage in an open low-field system: first clinical experiences. Rofo. 2000;172:744–7.
Trotteur G, Stockx L, Dondelinger R. Sedation, analgesia and anesthesia for interventional radiological procedures in adults. Part I. Survey of interventional radiological practice in Belgium. JBR-BTR. 2000;83:111–5.
Lee MJ, Mueller P, Saini S, Hahn P, Dawson S. Percutaneous dilatation of benign biliary strictures: single-session therapy with general anesthesia. AJR Am J Roentgenol. 1991;157:1263–6.
Hatzidakis A, Charonitakis E, Athanasiou A, Tsetis D, Chlouverakis G, Papamastorakis G, et al. Sedations and analgesia in patients undergoing percutaneous transhepatic biliary drainage. Clin Radiol. 2003;58:121–7.
Covey AM, Brown K. Percutaneous transhepatic biliary drainage. Tech Vasc Interv Radiol. 2008;11:14–20.
Barth K. Percutaneous biliary drainage for high obstruction. Radiol Clin North Am. 1990;28:1223–35.
Ring E, Husted J, Oleaga J, Freiman D. A multihole catheter for maintaining longterm percutaneous antegrade biliary drainage. Radiology. 1979;132:752–4.
Berquist T, May GR, Johnson C, Adson M, Thistle J. Percutaneous biliary decompression: internal and external drainage in 50 patients. AJR Am J Roentgenol. 1981;136:901–6.
Clouse ME, Evans D, Costello P, Alday M, Edwards S, Mcdermott WJ. Percutaneous transhepatic biliary drainage. Complications due to multiple duct obstructions. Ann Surg. 1983;198:25–9.
Hamlin J, Friedman M, Stein M, Bray J. Percutaneous biliary drainage: complications of 118 consecutive catheterizations. Radiology. 1986;158:199–202.
Yee AC, Ho CS. Complications of percutaneous biliary drainage: benign vs. malignant diseases. AJR Am J Roentgenol. 1987;148:1207–9.
Gunther R, Schild H, Thelen M. Percutaneous transhepatic biliary drainage: experience with 311 procedures. Cardiovasc Intervent Radiol. 1988;11:65–71.
Trambert J, Bron K, Zajko A, Starzl T, Iwatsuki S. Percutaneous transhepatic balloon dilatation of benign biliary strictures. AJR Am J Roentgenol. 1987;149:945–8.
Schwarz W, Rosen R, Fitts WJ, Mackie J, Oleaga J, Freiman D, et al. Percutaneous transhepatic drainage preoperatively for benign biliary strictures. Surg Gynecol Obstet. 1981;152:466–8.
Morrison M, Lee MJ, Saini S, Brink J, Mueller P. Percutaneous balloon dilatation of benign biliary strictures. Radiol Clin North Am. 1990;28:1191–201.
Ko GY, Sung K, Yoon H, Kim KR, Gwon D, Lee SG. Percutaneous transhepatic treatment of hepaticojejunal anastomotic biliary strictures after living donor liver transplantation. Liver Transpl. 2008;14:1323–32.
Schumacher B, Othman T, Jansen M, Preiss C, Neuhaus H. Long-term follow-up of percutaneous transhepatic therapy (PTT) in patients with definite benign anastomotic strictures after hepaticojejunostomy. Endoscopy. 2001;33:409–15.
Eickhoff A, Schilling D, Jakobs R, Weickert U, Hartmann D, Eickhoff J, et al. Long-term outcome of percutaneous transhepatic drainage for benign bile duct stenoses. Rocz Akad Med Bialymst. 2005;50:155–60.
Weber A, Rosca B, Neu B, Rosch T, Frimberger E, Born P, et al. Long-term follow-up of percutaneous transhepatic biliary drainage (PTBD) in patients with benign bilioenterostomy stricture. Endoscopy. 2009;41:323–8.
Mueller P, Vansonnenberg E, Ferrucci JJ, Weyman P, Butch R, Malt R, et al. Biliary stricture dilatation: multicenter review of clinical management in 73 patients. Radiology. 1986;160:17–22.
Venbrux A, Osterman FJ. Percutaneous management of benign biliary strictures. Tech Vasc Interv Radiol. 2001;4:141–6.
Kocher M, Cerna M, Havlik R, Kral V, Gryga A, Duda M. Percutaneous treatment of benign bile duct strictures. Eur J Radiol. 2007;62:170–4.
Kauffmann G, Roeren T, Friedl P, Brambs H, Richter G. Interventional radiological treatment of malignant biliary obstruction. Eur J Surg Oncol. 1990;16:397–403.
Laberge J, Doherty M, Gordon R, Ring E. Hilar malignancy: treatment with an expandable metallic transhepatic biliary stent. Radiology. 1990;177:793–7.
Glattli A, Stain S, Baer H, Schweizer W, Triller J, Blumgart L. Unresectable malignant biliary obstruction: treatment by self-expandable biliary endoprostheses. HPB Surg. 1993;6:175–84.
Tokunaga Y, Mukaihara S, Kubo S, Yang S, Yo M, Nakayama H, et al. Metallic expanding biliary stents in malignant obstruction. Cases with stent in stent. J Clin Gastroenterol. 1993;17:153–7.
Ridtitid W, Rerknimitr R, Janchai A, Kongkam P, Treeprasertsuk S, Kullavanijaya P. Outcome of second interventions for occluded metallic stents in patients with malignant biliary obstruction. Surg Endosc. 2010;24:2216–20.
Pickleman J, Gonzalez R. The improving results of cholecystectomy. Arch Surg. 1986;121:930–4.
Saito A, Shirai Y, Ohzeki H, Hayashi J, Eguchi S. Acute acalculous cholecystitis after cardiovascular surgery. Surg Today. 1997;27:907–9.
Frazee R, Nagorney D, Mucha PJ. Acute acalculous cholecystitis. Mayo Clin Proc. 1989;64:163–7.
Li JC, Lee DW, Lai CW, Li AC, Chu DW, Chan A. Percutaneous cholecystostomy for the treatment of acute cholecystitis in the critically ill and elderly. Hong Kong Med J. 2004;10:389–93.
Mcloughlin R, Patterson E, Mathieson J, Cooperberg P, Macfarlane J. Radiologically guided percutaneous cholecystostomy for acute cholecystitis: long-term outcome in 50 patients. Can Assoc Radiol J. 1994;45:455–9.
Ginat D, Saad W. Cholecystostomy and transcholecystic biliary access. Tech Vasc Interv Radiol. 2008;11:2–13.
Eggermont A, Lameris J, Jeekel J. Ultrasound-guided percutaneous transhepatic cholecystostomy for acute acalculous cholecystitis. Arch Surg. 1985;120:1354–6.
Berman M, Nudelman I, Fuko Z, Madhala O, Neuman-Levin M, Lelcuk S. Percutaneous transhepatic cholecystostomy: effective treatment of acute cholecystitis in high risk patients. Isr Med Assoc J. 2002;4:331–3.
Ha JP, Tsui K, Tang C, Siu WT, Fung K, Li MK. Cholecystectomy or not after percutaneous cholecystostomy for acute calculous cholecystitis in high-risk patients. Hepatogastroenterology. 2008;55:1497–502.
Mcgahan J, Anderson M, Walter J. Portable real-time sonographic and needle guidance systems for aspiration and drainage. AJR Am J Roentgenol. 1986;147:1241–6.
Wise J, Gervais D, Akman A, Harisinghani M, Hahn P, Mueller P. Percutaneous cholecystostomy catheter removal and incidence of clinically significant bile leaks: a clinical approach to catheter management. AJR Am J Roentgenol. 2005;184:1647–51.
Dunham F, Marliere P, Mortier C, Gulbis A. Ultrasound-guided percutaneous and transhepatic cholecystostomy: a complementary procedure to therapeutic endoscopy. Endoscopy. 1985;17:153–6.
Loberant N, Notes Y, Eitan A, Yakir O, Bickel A. Comparison of early outcome from transperitoneal versus transhepatic percutaneous cholecystostomy. Hepatogastroenterology. 2010;57:12–7.
Van Overhagen H, Meyers H, Tilanus H, Jeekel J, Lameris J. Percutaneous cholecystectomy for patients with acute cholecystitis and an increased surgical risk. Cardiovasc Intervent Radiol. 1996;19:72–6.
Hatjidakis A, Karampekios S, Prassopoulos P, Xynos E, Raissaki M, Vasilakis S, et al. Maturation of the Tract After Percutaneous Cholecystostomy with Regard to the Access Route. Cardiovasc Intervent Radiol. 1998;20:36–40.
Vansonnenberg E, D’Agostino HB, Goodacre B, Sanchez R, Casola G. Percutaneous gallbladder puncture and cholecystostomy: results, complications, and caveats for safety. Radiology. 1992;183:167–70.
Garber S, Mathieson J, Cooperberg P, Macfarlane J. Percutaneous cholecystostomy: safety of the transperitoneal route. J Vasc Interv Radiol. 1994;5:295–8.
Mcgahan J, Lindfors K. Percutaneous cholecystostomy: an alternative to surgical cholecystostomy for acute cholecystitis? Radiology. 1989;173:481–5.
D’Agostino HB. vanSonnenberg E., Sanchez R., Goodacre B. Casola G. Imaging of the percutaneous cholecystostomy tract: observations and utility. Radiology. 1991;181:675–8.
Picus D., Burns M., Hicks M., Darcy M., Vesely T. Percutaneous management of persistently immature cholecystostomy tracts. J Vasc Interv Radiol. 1993;4:97-101; discussion 101–2.
Corbett C, Fyfe N, Nicholls R, Jackson B. Bile peritonitis after removal of T-tubes from the common bile duct. Br J Surg. 1986;73:641–3.
Saad W, Wallace M, Wojak J, Kundu S, Cardella J. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol. 2010;21:789–95.
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Arellano, R.S. (2011). Biliary Interventions. In: Non-Vascular Interventional Radiology of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7732-8_6
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DOI: https://doi.org/10.1007/978-1-4419-7732-8_6
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