TY  - JOUR
T1  - PErcutaneous decompression of benign and malignant biliary obstruction
AU  - Pollock TW, Ring ER, Oleaga JA, Freiman DB, Mullen JL, Rosato EF
Y1  - 1979/02/01
N1  - 10.1001/archsurg.1979.01370260038005
JO  - Archives of Surgery
SP  - 148
EP  - 151
VL  - 114
IS  - 2
N2  - • Percutaneous transhepatic catheterization of the biliary tree was performed in 41 patients with obstructive jaundice. In 39 patients, the catheter was successfully advanced past the obstructing lesion into the distal common duct and duodenum to establish internal biliary drainage. The remaining two patients had the obstructed biliary tract drained externally. Chronic internal catheter drainage was instituted in five patients with stricture and ten with malignant obstruction as a means of palliating symptomatic jaundice. Twenty-two patients had marked reduction in serum bilirubin levels and pruritis, eight patients had moderate decreases in serum bilirubin levels, and six patients did not improve despite adequate catheterization due to hepatic parenchymal disease. This procedure effectively decompresses the severely obstructed biliary tree prior to surgery and can also palliate patients with unresectable malignant biliary obstruction and stent high-risk, benign strictures.(Arch Surg 114:148-151, 1979)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1979.01370260038005
UR  - http://dx.doi.org/10.1001/archsurg.1979.01370260038005
ER  -