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Percutaneous drainage and stenting for palliation of malignant bile duct obstruction

  • Hepatobiliary-Pancreas
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Abstract

Percutaneous biliary drainage and stenting (PTBD) for palliation of malignant obstructive jaundice has evolved to a safe and effective technique. PTBD is equally effective for treatment of distal and proximal bile obstruction. Metal self-expandable stents have proved superior to plastic stents and should therefore be used. Technical success is >90% en clinical success is >75% in all major series. There are a considerable number of complications, but most can be treated conservatively and procedure-related mortality is <2% in most series. Thirty-day mortality after PTBD is >10% in many series, but this is largely due to the underlying disease. About 10–30% of patients will have recurrent jaundice at some point in their disease after PTBD and require re-intervention.

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  1. Department of Radiology, Academic Medical Center of the University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    Otto M. van Delden & Johan S. Laméris

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  1. Otto M. van Delden
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  2. Johan S. Laméris
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Correspondence to Otto M. van Delden.

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van Delden, O.M., Laméris, J.S. Percutaneous drainage and stenting for palliation of malignant bile duct obstruction. Eur Radiol 18, 448–456 (2008). https://doi.org/10.1007/s00330-007-0796-6

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  • DOI: https://doi.org/10.1007/s00330-007-0796-6

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