Ultrasound-Guided Percutaneous Transhepatic Biliary Drainage Outcome at Tertiary Care Centre of North India

Umakant Prasad; Deepak Kumar; Amit Kumar; Rakesh Kumar Singh; Sanjay Kumar Suman; Pramita Kumari

Umakant Prasad Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Deepak Kumar Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Amit Kumar Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Rakesh Kumar Singh Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Sanjay Kumar Suman Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Pramita Kumari Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Keywords: Percutaneous transhepatic biliary drainage, Obstructive biliary pathology, Ultrasound, Jaundice, Complications

Abstract

Aims: The aim of this study is to know the feasibility and outcome of ultrasound-guided percutaneous transhepatic biliary
drainage (PTBD) at tertiary care center of North India.
Materials and Methods: This is a prospective observational study conducted on patients affected by biliary tree obstruction
with jaundice referred to department of radiodiagnosis for management of obstructive jaundice. Procedure (PTBD) has been
performed by single step puncturing the biliary system under ultrasound guidance.
Results: 110 patients affected by biliary tree obstruction were included in this study. The biliary obstruction was malignant
in 102 and benign in eight cases. Technical success considered as positioning of a drainage tube into the biliary tree by only
ultrasound guidance and single step puncture was 100%.
Conclusions: Only ultrasound guidance to access the biliary tree and single step puncture of bile duct for PTBD was a safe,
low cost, and effective technique for the management of obstructive biliary pathology.

Author Biographies

Umakant Prasad, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Associate Professor, Department of Radiodiagnosis

Deepak Kumar, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Associate Professor, Department of Radiodiagnosis

Amit Kumar, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Associate Professor, Department of Radiodiagnosis

Rakesh Kumar Singh, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Assistant Professor, Department of Surgical Gastroenterology and Liver Transplantation.

Sanjay Kumar Suman, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

Professor and Head, Department of Radiodiagnosis

Pramita Kumari, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

3rd Year Post Graduate Student, Department of Anatomy.

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