Benigne und maligne Gallenwegstenosen
Editors: J.F. Riemann, Ludwigshafen; R. Bittner, Stuttgart

Main Theme · Hauptthema

Verschlußikterus - palliative Drainage aus der Sicht des Radiologen
St.H. Duda, C.W. König, J. Pinocy, U. Schott, Ph. Pereira, P.E. Huppert, R. Viebahn, C.D. Claussen

Address of Corresponding Author

Chir Gastroenterol 1999;15:68-71 (DOI: 10.1159/000012533)

  Summary

The technical success rates of percutaneous transhepatic biliary drainage (PTBD) in patients with malignant biliary obstructions range between 95 and 100%. There is a reocclusion rate of 30% after percutaneous implantation of Wallstents. The median survival of these patients is 180 days. For management of stent occlusions we prefer overstenting. Patients after surgery of the upper gastrointestinal tract should receive a PTBD as first-line therapy. The same applies for proximal occlusions and obstructions in the very distal choledochal duct with invasion of the papilla of Vateri or duodenal stenosis. Another advantage of the percutaneous route is a simplified technique for afterloading therapy of biliary carcinoma.