PERCUTANEOUS MANIPULATIONS OF THE BILIARY TRACT

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PTC Major Complications Burke, et al Reported rate % Suggested threshhold Sepsis, cholangitis, bile leak, hemorrhage or pneumothorax 2 4 PTCB Indications PTCB Indications 1. Not approachable with ERCP 2. Decompress obstructed biliary tree 3. Dilate biliary strictures 4. Remove bile duct stones 5. Divert bile from and stent biliary leaks Dana R. Burke, et al, Quality Improvement Guidelines for Percutaneous Transhepatic Cholangiography and Biliary Drainage JVIR 2003 14: 243S-246S. Hunter 2010
GG – PSC Progressive worsening LFTs Candidate for liver Tx GG – Rendezvous For the L central duct GG – Low CBD Rendezvous GG- Fail to cross lower CBD stricture GG – Rendezvous R upper to R lower GG – R anterior R posterior
Page 1 and 2: Cancer of the Pancreas PERCUTANEOUS
Page 3: Percutaneous Transhepatic Cholangio
Page 7 and 8: 11/13/03 Laparoscopic cholecystecto
Page 9 and 10: PTCB DOING THE ERCP THING • Stone
Page 11: Biliary Complications of Liver Tran

PERCUTANEOUS MANIPULATIONS OF THE BILIARY TRACT

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