Abstract
Objective: Bilary stenting with endoprosthesis is a palliative prodedure to relieve malignant biliary obstruction. Percutaneous transhepatic technique has been employed whenever endoscopie technique was not possible or had fialed. Setting: Angiography/ intervention suite, department of radiology, Aga Khan University hospital, Karachi. Methods: We present retrospective analysis of 17 patients with malignant jaundice who were treated with percutaneous techniques after the endoscopic route had failed. Results: The success rate was 94% with placement of single plastic stent in 14 patients, double stents in 3 patients and self-expandable stent in one patient. The overall complication rate was 41% including sepsis, liver abscess, biloma formation, biliary leakage and stent occlusion. There was one procedure related death due to severe sepsis. Conclusion: Percutaneous transhepatic biliary stenting is an alternative procedure to relieve malignant biliary obstruction with high complication rate and should be reserved for selected patients in whom endoscopic route has failed.
| Original language | English (UK) |
|---|---|
| Pages (from-to) | 308-312 |
| Number of pages | 5 |
| Journal | Journal of the Pakistan Medical Association |
| Volume | 51 |
| Issue number | 9 |
| Publication status | Published - Sept 2001 |