CardioVascular and Interventional Radiology

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

Regarding “Predicting Success in Percutaneous Transhepatic Biliary Drainage”

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.

Notes

Acknowledgements

None.

Compliance with Ethical Standards

Conflicts of interest

None.

References

  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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