CardioVascular and Interventional Radiology

, Volume 40, Issue 10, pp 1655–1655 | Cite as

Regarding “Predicting Success in Percutaneous Transhepatic Biliary Drainage”

  • Zhongzhi Jia
Letter to the Editor

To the Editor,

We read with great interest the recent article by Khosla et al. [1]. The authors concluded percutaneous transhepatic biliary drain placement (PTBD) may not achieve decreasing bilirubin in patients with a malignant obstruction. However, we would like to elaborate on this conclusion.

PTBD has been used widely in the treatment of obstructive jaundice and approved by Society of Interventional Radiology (SIR) [2, 3, 4, 5]. The safety and effectiveness of PTBD in the treatment of patients with malignant obstruction have been proved [2, 3, 4]. However, the authors concluded PTBD may not achieve decreasing bilirubin in patients with a malignant obstruction. This conclusion is inconsistent with previous studies. A prospective randomized clinical trial with a large sample size is needed to validate this hypothesis.




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Conflicts of interest



  1. 1.
    Khosla A, Xi Y, Toomay S. Predicting success in percutaneous transhepatic biliary drainage. Cardiovasc Interv Radiol. 2017. doi: 10.1007/s00270-017-1679-0 (Epub ahead of print).Google Scholar
  2. 2.
    Saluja SS, Gulati M, Garg PK, et al. Endoscopic or percutaneous biliary drainage for gallbladder cancer: a randomized trial and quality of life assessment. Clin Gastroenterol Hepatol. 2008;6(8):944–50.CrossRefPubMedGoogle Scholar
  3. 3.
    Zhao XQ, Dong JH, Jiang K, et al. Comparison of percutaneous transhepatic biliary drainage and endoscopic biliary drainage in the management of malignant biliary tract obstruction: a meta-analysis. Dig Endosc. 2015;27(1):137–45.CrossRefPubMedGoogle Scholar
  4. 4.
    Moole H, Dharmapuri S, Duvvuri A, et al. Endoscopic versus percutaneous biliary drainage in palliation of advanced malignant hilar obstruction: a meta-analysis and systematic review. Can J Gastroenterol Hepatol. 2016;2016:4726078.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Saad WE, Wallace MJ, Wojak JC, et al. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol. 2010;21(6):789–95.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017

Authors and Affiliations

  1. 1.Department of Interventional RadiologyNo. 2 People’s Hospital of Changzhou, Nanjing Medical UniversityChangzhouChina

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