Management of post-surgical biliary leakage with percutaneous transhepatic biliary drainage (PTBD) and occlusion balloon (OB) in patients without dilatation of the biliary tree: Preliminary results

Vittorio Pedicini, Dario Poretti, Giovanni Mauri, Manuela Trimboli, Giorgio Brambilla, Luca Maria Sconfienza, Gianpaolo Cornalba, Francesco Sardanelli

Research output: Contribution to journalArticle

Abstract

Objective: To compare the outcome of patients affected by biliary leak after major biliary surgery and treated with percutaneous transhepatic biliary drainage (PTBD) alone with that of similar patients treated with PTBD and concurrent positioning of an occlusion balloon (PTBD-OB). Methods: We retrospectively reviewed the results of the use of PTBD or PTBD-OB performed at our institution from 2004 to 2008 in patients with post-surgical biliary leak. Sixteen patients entered the evaluation. PTDB alone was performed in 9 men (age 59.7±13.4 years [mean ± standard deviation]; median 60 years), while PTBD-OB was performed in 7 patients (5 men, 2 women, age 71.3±9.3 years; median 68 years). Results: No significant difference between groups was found regarding age (p=0.064) and sex (p=0.175) distribution, number of procedures (3.1±1.62; 2 vs 1.7±1.1; 1, p=0.151), and days of disease before recovery, death or modification of treatment (51.6±66.8; 23 vs 18.6±15.1; 14, p=0.266). The number of patients treated with PTBD-OB who fully recovered (7/7, 100%) was significantly higher than that of patients treated with PTBD alone (4/9, 44%, p=0.034). Conclusion: This procedure appears to be clinically effective, being associated with a higher probability of recovery in patients treated for post-surgical biliary leak. Further studies are needed to confirm these preliminary results.

Original languageEnglish
Pages (from-to)1061-1068
Number of pages8
JournalEuropean Radiology
Volume20
Issue number5
DOIs
Publication statusPublished - 2010

Fingerprint

Balloon Occlusion
Biliary Tract
Dilatation
Drainage

Keywords

  • Biliary leak
  • Biliary surgery
  • Nonvascular interventional
  • Occlusion balloon
  • Percutaneous transhepatic biliary drainage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

@article{90dce61941bf4372891201fadbe9c713,
title = "Management of post-surgical biliary leakage with percutaneous transhepatic biliary drainage (PTBD) and occlusion balloon (OB) in patients without dilatation of the biliary tree: Preliminary results",
abstract = "Objective: To compare the outcome of patients affected by biliary leak after major biliary surgery and treated with percutaneous transhepatic biliary drainage (PTBD) alone with that of similar patients treated with PTBD and concurrent positioning of an occlusion balloon (PTBD-OB). Methods: We retrospectively reviewed the results of the use of PTBD or PTBD-OB performed at our institution from 2004 to 2008 in patients with post-surgical biliary leak. Sixteen patients entered the evaluation. PTDB alone was performed in 9 men (age 59.7±13.4 years [mean ± standard deviation]; median 60 years), while PTBD-OB was performed in 7 patients (5 men, 2 women, age 71.3±9.3 years; median 68 years). Results: No significant difference between groups was found regarding age (p=0.064) and sex (p=0.175) distribution, number of procedures (3.1±1.62; 2 vs 1.7±1.1; 1, p=0.151), and days of disease before recovery, death or modification of treatment (51.6±66.8; 23 vs 18.6±15.1; 14, p=0.266). The number of patients treated with PTBD-OB who fully recovered (7/7, 100{\%}) was significantly higher than that of patients treated with PTBD alone (4/9, 44{\%}, p=0.034). Conclusion: This procedure appears to be clinically effective, being associated with a higher probability of recovery in patients treated for post-surgical biliary leak. Further studies are needed to confirm these preliminary results.",
keywords = "Biliary leak, Biliary surgery, Nonvascular interventional, Occlusion balloon, Percutaneous transhepatic biliary drainage",
author = "Vittorio Pedicini and Dario Poretti and Giovanni Mauri and Manuela Trimboli and Giorgio Brambilla and Sconfienza, {Luca Maria} and Gianpaolo Cornalba and Francesco Sardanelli",
year = "2010",
doi = "10.1007/s00330-009-1637-6",
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journal = "European Radiology",
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T1 - Management of post-surgical biliary leakage with percutaneous transhepatic biliary drainage (PTBD) and occlusion balloon (OB) in patients without dilatation of the biliary tree

T2 - Preliminary results

AU - Pedicini, Vittorio

AU - Poretti, Dario

AU - Mauri, Giovanni

AU - Trimboli, Manuela

AU - Brambilla, Giorgio

AU - Sconfienza, Luca Maria

AU - Cornalba, Gianpaolo

AU - Sardanelli, Francesco

PY - 2010

Y1 - 2010

N2 - Objective: To compare the outcome of patients affected by biliary leak after major biliary surgery and treated with percutaneous transhepatic biliary drainage (PTBD) alone with that of similar patients treated with PTBD and concurrent positioning of an occlusion balloon (PTBD-OB). Methods: We retrospectively reviewed the results of the use of PTBD or PTBD-OB performed at our institution from 2004 to 2008 in patients with post-surgical biliary leak. Sixteen patients entered the evaluation. PTDB alone was performed in 9 men (age 59.7±13.4 years [mean ± standard deviation]; median 60 years), while PTBD-OB was performed in 7 patients (5 men, 2 women, age 71.3±9.3 years; median 68 years). Results: No significant difference between groups was found regarding age (p=0.064) and sex (p=0.175) distribution, number of procedures (3.1±1.62; 2 vs 1.7±1.1; 1, p=0.151), and days of disease before recovery, death or modification of treatment (51.6±66.8; 23 vs 18.6±15.1; 14, p=0.266). The number of patients treated with PTBD-OB who fully recovered (7/7, 100%) was significantly higher than that of patients treated with PTBD alone (4/9, 44%, p=0.034). Conclusion: This procedure appears to be clinically effective, being associated with a higher probability of recovery in patients treated for post-surgical biliary leak. Further studies are needed to confirm these preliminary results.

AB - Objective: To compare the outcome of patients affected by biliary leak after major biliary surgery and treated with percutaneous transhepatic biliary drainage (PTBD) alone with that of similar patients treated with PTBD and concurrent positioning of an occlusion balloon (PTBD-OB). Methods: We retrospectively reviewed the results of the use of PTBD or PTBD-OB performed at our institution from 2004 to 2008 in patients with post-surgical biliary leak. Sixteen patients entered the evaluation. PTDB alone was performed in 9 men (age 59.7±13.4 years [mean ± standard deviation]; median 60 years), while PTBD-OB was performed in 7 patients (5 men, 2 women, age 71.3±9.3 years; median 68 years). Results: No significant difference between groups was found regarding age (p=0.064) and sex (p=0.175) distribution, number of procedures (3.1±1.62; 2 vs 1.7±1.1; 1, p=0.151), and days of disease before recovery, death or modification of treatment (51.6±66.8; 23 vs 18.6±15.1; 14, p=0.266). The number of patients treated with PTBD-OB who fully recovered (7/7, 100%) was significantly higher than that of patients treated with PTBD alone (4/9, 44%, p=0.034). Conclusion: This procedure appears to be clinically effective, being associated with a higher probability of recovery in patients treated for post-surgical biliary leak. Further studies are needed to confirm these preliminary results.

KW - Biliary leak

KW - Biliary surgery

KW - Nonvascular interventional

KW - Occlusion balloon

KW - Percutaneous transhepatic biliary drainage

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