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Digestive Disease Interventions
DOI: 10.1055/s-0044-1791790
Review Article

Transhepatic Cholangiography and Biliary Drainage: Basic Concepts and Technique

Karamvir Chandel 
1   Department of Radiology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
,
Ranjan Kumar Patel
2   Department of Radiology, All India Institute of Medical Sciences, Bhubaneshwar, Orissa, India
,
Taraprasad Tripathy 
2   Department of Radiology, All India Institute of Medical Sciences, Bhubaneshwar, Orissa, India
,
Amar Mukund 
3   Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India
,
Narvir Singh Chauhan 
1   Department of Radiology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
,
Chitresh Kumar
4   Department of Surgical Oncology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
,
Mohim Thakur
5   Department of Surgery, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
› Author Affiliations
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Abstract

Percutaneous transhepatic biliary procedures are essential for managing a variety of hepatobiliary conditions, particularly when endoscopic retrograde cholangiopancreatography is not feasible or has failed, or when patients are unstable. This review article provides a comprehensive overview of the indications, contraindications, and procedural steps for biliary puncture, focusing on techniques such as percutaneous transhepatic biliary drainage (PTBD) and percutaneous cholecystostomy. We also address strategies for accessing minimally dilated biliary systems and performing bedside PTBD. The article highlights the increasing demand for these interventions due to rising incidences of biliary diseases such as gallbladder cancer and cholangiocarcinoma, as well as complications arising from previous surgeries. Furthermore, we discuss common and life-threatening complications associated with these procedures, including biliary leaks, hemorrhage, and sepsis, and provide guidance on effective management strategies. Understanding these procedures and their potential complications is crucial for optimizing patient care and outcomes in complex biliary conditions.

Keywords

PTBD - cholecystostomy - cholangiogram

Ethical Approval

This is a review article. No ethical approval is required from our institutional ethics committee.




Publication History

Received: 07 June 2024

Accepted: 11 September 2024

Article published online:
16 October 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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