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A review of percutaneous transhepatic biliary drainage at a tertiary referral centre

Asadi, Hamed, Hollingsworth, R, Pennycooke, K, Thanaratnam, P, Given, M, Keeling, A and Lee, M 2016, A review of percutaneous transhepatic biliary drainage at a tertiary referral centre, Clinical radiology, vol. 71, no. 12, pp. 1312.e7-1312.e11, doi: 10.1016/j.crad.2016.05.013.

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Title A review of percutaneous transhepatic biliary drainage at a tertiary referral centre
Author(s) Asadi, HamedORCID iD for Asadi, Hamed orcid.org/0000-0003-2475-9727
Hollingsworth, R
Pennycooke, K
Thanaratnam, P
Given, M
Keeling, A
Lee, M
Journal name Clinical radiology
Volume number 71
Issue number 12
Start page 1312.e7
End page 1312.e11
Total pages 5
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-12
ISSN 0009-9260
1365-229X
Keyword(s) percutaneous biliary drainage (PBD)
morbidity
mortality
public health
Beaumont Hospital
science & technology
life sciences & biomedicine
radiology, nuclear medicine & medical imaging
interventional radiology
metallic stents
obstruction
complications
oncology
patient
benign
Summary To review percutaneous biliary drainage (PBD) procedures performed in Beaumont Hospital, Dublin, Ireland, over a 6-year period, to determine the 30-day morbidity and mortality. A total of 119 patients undergoing 193 PBD procedures were identified over a 6 year period. Of the patients, 6.7% (eight patients) had stone disease, 63% (75 patients) had a malignancy, and the remainder were diagnosed with other conditions. Standard techniques of PBD and biliary stent insertion were applied, with 73 patients (61%) having same-day procedures and all undergoing gelfoam embolisation of percutaneous tracts. All patients received intravenous prophylactic antibiotics and intravenous hydration prior to PBD. The technical success rate was 97%, with a mean drop of 105 mmol/l between pre- and post-procedure bilirubin. Thirty-day mortality was 10.9% (13 deaths), with major and minor morbidities of 5% (six patients) and 7.6% (nine patients), respectively. Major complications included sepsis in two patients, major haemorrhage in two patients, and renal failure in two patients. Minor complications included infection in seven patients, bile leak causing self-limiting pain in one patient, and minor haemorrhage in one patient. The study confirms that PBD and stent insertion is a safe and effective technique in Beaumont Hospital, associated with an overall acceptable morbidity and mortality comparable with other studies.
Language eng
DOI 10.1016/j.crad.2016.05.013
Field of Research 110399 Clinical Sciences not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 920199 Clinical Health (Organs
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Royal College of Radiologists
Persistent URL http://hdl.handle.net/10536/DRO/DU:30091435

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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