Percutaneous transhepatic biliary drainage
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- updated 4 Sep 2022:
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Percutaneous transhepatic biliary drainage, also known as percutaneous transhepatic cholangial drainage (PTCD), is an interventional radiology procedure undertaken for those with biliary obstruction.
It is commonly undertaken as part of a palliative biliary stent insertion. Rarely, it is used in the treatment of benign strictures.
Indications
-
malignant obstruction
ampullary and pancreatic malignancies when retrograde access via endoscopic retrograde cholangiopancreatography (ERCP) is not amenable
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benign obstruction
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iatrogenic strictures
previous anastomosis (e.g. post liver transplant)
diathermy burns
haemostasis clips
-
-<p><strong>Percutaneous transhepatic biliary drainage</strong>, also known as <strong>percutaneous transhepatic cholangial drainage (PTCD)</strong>, is an interventional radiology procedure undertaken for those with biliary obstruction. </p><p>It is commonly undertaken as part of a palliative biliary stent insertion. Rarely, it is used in the treatment of benign strictures.</p><h4>Indications</h4><ul>-<li>-<p><strong>malignant obstruction</strong></p>-<ul>-<li><p><a href="/articles/cholangiocarcinoma">cholangiocarcinoma</a></p></li>-<li><p>ampullary and <a href="/articles/pancreatic-neoplasms">pancreatic malignancies</a> when retrograde access via <a href="/articles/endoscopic-retrograde-cholangiopancreatography">endoscopic retrograde cholangiopancreatography (ERCP)</a> is not amenable</p></li>-</ul>-</li>-<li>-<p><strong>benign obstruction</strong></p>-<ul>-<li>-<p>iatrogenic strictures</p>-<ul>-<li><p>previous anastomosis (e.g. post liver transplant)</p></li>-<li><p><a href="/articles/suture-granuloma">suture granuloma</a></p></li>-<li><p>diathermy burns</p></li>-<li><p>haemostasis clips</p></li>-<li><p><a href="/articles/amputation-neuroma-of-the-cystic-duct">amputation neuroma of the cystic duct</a></p></li>-</ul>-</li>-<li><p><a href="/cases/primary-sclerosing-cholangitis-psc-1">primary sclerosing cholangitis</a></p></li>-</ul>-</li>- +<p><strong>Percutaneous transhepatic biliary drainage</strong>, also known as <strong>percutaneous transhepatic cholangial drainage (PTCD)</strong>, is an interventional radiology procedure undertaken for those with biliary obstruction. </p><p>It is commonly undertaken as part of a palliative biliary stent insertion. Rarely, it is used in the treatment of benign strictures.</p><h4>Indications</h4><ul>
- +<li>
- +<p><strong>malignant obstruction</strong></p>
- +<ul>
- +<li><p><a href="/articles/cholangiocarcinoma">cholangiocarcinoma</a></p></li>
- +<li><p>ampullary and <a href="/articles/pancreatic-neoplasms">pancreatic malignancies</a> when retrograde access via <a href="/articles/endoscopic-retrograde-cholangiopancreatography">endoscopic retrograde cholangiopancreatography (ERCP)</a> is not amenable</p></li>
- +</ul>
- +</li>
- +<li>
- +<p><strong>benign obstruction</strong></p>
- +<ul>
- +<li>
- +<p>iatrogenic strictures</p>
- +<ul>
- +<li><p>previous anastomosis (e.g. post liver transplant)</p></li>
- +<li><p><a href="/articles/suture-granuloma">suture granuloma</a></p></li>
- +<li><p>diathermy burns</p></li>
- +<li><p>haemostasis clips</p></li>
- +<li><p><a href="/articles/amputation-neuroma-of-the-cystic-duct">amputation neuroma of the cystic duct</a></p></li>
- +</ul>
- +</li>
- +<li><p><a href="/cases/primary-sclerosing-cholangitis-psc-1">primary sclerosing cholangitis</a></p></li>
- +</ul>
- +</li>
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