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 language | English |
|---|---|
| Pages (from-to) | 1061-1068 |
| Number of pages | 8 |
| Journal | European Radiology |
| Volume | 20 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2010 |
Fingerprint
Keywords
- Biliary leak
- Biliary surgery
- Nonvascular interventional
- Occlusion balloon
- Percutaneous transhepatic biliary drainage
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
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. / Pedicini, Vittorio; Poretti, Dario; Mauri, Giovanni; Trimboli, Manuela; Brambilla, Giorgio; Sconfienza, Luca Maria; Cornalba, Gianpaolo; Sardanelli, Francesco.
In: European Radiology, Vol. 20, No. 5, 2010, p. 1061-1068.Research output: Contribution to journal › Article
}
TY - JOUR
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
UR - http://www.scopus.com/inward/record.url?scp=77952092678&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77952092678&partnerID=8YFLogxK
U2 - 10.1007/s00330-009-1637-6
DO - 10.1007/s00330-009-1637-6
M3 - Article
C2 - 19890645
AN - SCOPUS:77952092678
VL - 20
SP - 1061
EP - 1068
JO - European Radiology
JF - European Radiology
SN - 0938-7994
IS - 5
ER -