The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas

Bilgin Kadri Aribas; Cetin Imamoglu; Ahmet Bayrak; Hale Aydin; Emrah Caglar

doi:doi:10.11648/j.rs.20170204.13

| Peer-Reviewed

The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas

Bilgin Kadri Aribas, Cetin Imamoglu, Ahmet Bayrak, Hale Aydin, Emrah Caglar

Published in Rehabilitation Science (Volume 2, Issue 4)

Received: 25 September 2017 Accepted: 25 October 2017 Published: 3 December 2017

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Objective: To handle efficacy of percutaneous biliary drainage not only in cases with malignant biliary obstructive jaundice, but associated bilomas as well. Also, it is to evaluate our series with previous series in this review. Material and Method: Review of previous series in which between January 1998 and July 2008, percutaneous biliary drainage was performed in 47 men and 29 women, 76 patients with malignant biliary obstruction. Ages were between 29 and 80 years, mean age: 55.0 years. Our patients had pain, emesis, vomiting, itching, weakness, and weight loss, while jaundice was the clinical symptom in almost all. Biliary stent was put in 5 (6.6%). Biloma was seen in 3 (4.0%). Success was evaluated by referencing direct bilirubin levels before and after drainage and clinical recovery. These bilirubin levels were statistically compared via Wilcoxon signed ranks test. Results: It was succeeded in 70 patients. Mean bilirubin was 14.2±7.4 mg/dl (3.0-36.0) before drainage and 7.1±5.5 mg/dl (0.2-20.0) after drainage. Direct bilirubin levels decreased significantly (p<0.001). The procedure was failed in 2 (2.6%). Success was in 89.5% of malignant biliary drainages and all associated bilomas. Conclusion: Percutaneous biliary drainage is not only an effective interventional radiological method in palliation therapy of malignant biliary obstruction but also associated bilomas. Drainage type should be chosen on the grounds of clinical status of each patient and depending on expertise of operator or intervention a list and should be switched among percutaneous biliary drainage technique and endoscopic biliary drainage or surgical treatment technique.

Published in	Rehabilitation Science (Volume 2, Issue 4)
DOI	10.11648/j.rs.20170204.13
Page(s)	85-90
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Percutaneous Drainage, Biliary, Malignant, Biloma

References

[1]	A. C. Venbrux, F. A. Osterman. “Malignant Obstruction of the Hepatobiliary System”. In: Baum S, Pentecost MJ, editors. Abrams’ Angiography Interventional Radiology. Volume III. Boston, New York, Toronto, London: Little, Brown and Company, pp. 472-490, 1997.
[2]	W. Molnar, A. E. Stockum. “Relief of obstructive jaundice through percutaneous transhepatic catheter: a new therapeutic method”. Am J Roentgenol Radium Ther Nucl Med, vol. 122, pp. 356-367, 1974.
[3]	N. R. Castaneda-Zuniga, J. D. Irwing, M. A. Herrera, et al. “Interventional techniques in the hepatobiliary system”. In: Castaneda-Zuniga WR, Tadovasthy SM. Interventional Radiology. 2^nd ed. Baltimore; Williams and Wilkins; pp. 1053-1185, 1992.
[4]	P. R. Mueller, E. van Sonnenberg, J. T. Ferrucci. “Percutaneous biliary drainage: Technical and catheter related problems in 200 procedures”. AJR Am J Roentgenol AJR, vol. 138, pp. 17-23, 1982.
[5]	J. T. Ferrucci, M. A. Adson, P. R. Mueller, et al. “Advances in radiology of jaundice: a symposium and review”. AJR Am J Roentgenol, vol. 141, pp. 1-20, 1983.
[6]	R. P. Gobien, J. H. Stanley, C. D. Soucek, et al. “Routine preoperative biliary drainage: effect on management of obstructive jaundice”. Radiology, vol. 152, pp. 353-356, 1984.
[7]	C. H. Carrasco, J. Zornoza, W. J. Bechtel. “Malignant biliary obstruction: complications of percutaneous biliary drainage”. Radiology, vol. 152, pp. 343-346, 1984.
[8]	E. C. Stambuk, H. A. Pitt, S. O. Pais, et al. “Percutaneous transhepatic drainage: risks and benefits”. Arch Surg, vol. 118, pp. 1388-1394, 1983.
[9]	D. Bonnel, J. T. Ferrucci, P. R. Mueller, et al. “Surgical and radiological decompression in malignant biliary obstruction: a retrospective study using multivariate risk factor analysis”. Radiology, vol. 152, pp. 347-351, 1984.
[10]	J. H. Lee, J. I. Suh. “A case of infected biloma due to spontaneous intrahepatic biliary rupture”. Korean J Intern Med, vol. 22, pp. 220-224, 2007.
[11]	B. K. Aribaş, K. Arda, F. Yakut, et al. “Percutaneous biliary drainage in malignant biliary obstruction and accompanying bilomas”. Akademik Gastroenteroloji Dergisi, vol. 9, pp. 16-21, 2010.
[12]	P. Ranjeev, K. L. Goh, M. Rosmawati, Y. M. Tan. “Intrahepatic biloma: an unusual complication of cholangiocarcinoma treated endoscopically”. Gastrointest Endosc, vol. 50, pp. 711-713, 1999.
[13]	P. Pappas, P. Leonardou, A. Kurkuni, T. Alexopoulos, G. Tzortzis. “Percutaneous insertion of metallic endoprostheses in the biliary tree in 66 patients: relief of the obstruction”. Abdom Imaging, vol. 28, pp. 678-83, 2003.
[14]	A. Weber, J. Gaa, B. Rosca, et al. “Complications of percutaneous transhepatic biliary drainage in patients with dilated and nondilated intrahepatic bile ducts”. Eur J Radiol, vol. 72, pp. 412-417, 2009.
[15]	D. Knap, N. Orlecka, R. Judka, et al. “Biliary duct obstruction treatment with aid of percutaneous transhepatic biliary drainage”. AJME Alexandria Journal of Medicine, vol. 52, pp. 185-191, 2016.
[16]	F. Küçükay, R. S. Okten, M. Yurdakul, et al. “Triple metallic stenting in hilar malignant biliary obstructions”. Diagn Interv Radiol, vol. 17, pp. 277-282, 2011.
[17]	J. J. Leng, N. Zhang, J. H. Dong. “Percutaneous transhepatic and endoscopic biliary drainage for malignant biliary tract obstruction: a meta-analysis”. World J Surg Oncol, vol. 12, pp. 272, 2014.
[18]	C. S. Ho, A. E. Warkentin. “Evidence-based decompression in malignant biliary obstruction”. Korean J Radiol, vol. 13 Suppl 1: S56-61, 2012.
[19]	D. Tsetis, Μ. Krokidis, D. Negru, P. Prassopoulos. “Malignant biliary obstruction: the current role of interventional radiology”. Ann Gastroenterol, vol. 29, pp. 33-6, 2016.
[20]	L. Z. Pu, R. Singh, C. K. Loong, E. G. de Moura. “Malignant Biliary Obstruction: Evidence for Best Practice”. Gastroenterol Res Pract, vol. 2016:3296801, 2016.
[21]	A. C. Venbrux. “Tumors at the biliary confluence- how to choose between external drainage, endoprostheses, stents, and radiation”. Journal of Vascular and Interventional Radiology, vol. 8, pp. 66-71, 1997.
[22]	C. E. Ray Jr, J. M. Lorenz, C. T. Burke, et al. ACR “Appropriateness Criteria radiologic management of benign and malignant biliary obstruction”. J Am Coll Radiol, vol. 10, pp. 567-574, 2013.
[23]	E. Christoforidis, K. Vasiliadis, I. Goulimaris, et al. “A single center experience in minimally invasive treatment of postcholecystectomy bile leak, complicated with biloma formation”. J Surg Res, vol. 14, pp. 171-175, 2007.
[24]	R. Howard, S. Bansal, I. A. Munshi. “Biloma: a delayed complication of blunt hepatic injury”. J Emerg Med, vol. 34, pp. 33-35, 2008.
[25]	A. El Idrissi-Lamghari, D. Olivié, K. Boudjema, J. F. Bretagne. “Successful treatment of intrahepatic biloma by combined percutaneous and endoscopic technique: an intrabiloma ‘rendezvous’”. Gastrointest Endosc, vol. 63, pp. 721-723, 2006.

Cite This Article

Plain Text BibTeX RIS

APA Style

Bilgin Kadri Aribas, Cetin Imamoglu, Ahmet Bayrak, Hale Aydin, Emrah Caglar. (2017). The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas. Rehabilitation Science, 2(4), 85-90. https://doi.org/10.11648/j.rs.20170204.13

Copy | Download

ACS Style

Bilgin Kadri Aribas; Cetin Imamoglu; Ahmet Bayrak; Hale Aydin; Emrah Caglar. The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas. Rehabil. Sci. 2017, 2(4), 85-90. doi: 10.11648/j.rs.20170204.13

Copy | Download

AMA Style

Bilgin Kadri Aribas, Cetin Imamoglu, Ahmet Bayrak, Hale Aydin, Emrah Caglar. The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas. Rehabil Sci. 2017;2(4):85-90. doi: 10.11648/j.rs.20170204.13

Copy | Download

@article{10.11648/j.rs.20170204.13,
  author = {Bilgin Kadri Aribas and Cetin Imamoglu and Ahmet Bayrak and Hale Aydin and Emrah Caglar},
  title = {The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas},
  journal = {Rehabilitation Science},
  volume = {2},
  number = {4},
  pages = {85-90},
  doi = {10.11648/j.rs.20170204.13},
  url = {https://doi.org/10.11648/j.rs.20170204.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20170204.13},
  abstract = {Objective: To handle efficacy of percutaneous biliary drainage not only in cases with malignant biliary obstructive jaundice, but associated bilomas as well. Also, it is to evaluate our series with previous series in this review. Material and Method: Review of previous series in which between January 1998 and July 2008, percutaneous biliary drainage was performed in 47 men and 29 women, 76 patients with malignant biliary obstruction. Ages were between 29 and 80 years, mean age: 55.0 years. Our patients had pain, emesis, vomiting, itching, weakness, and weight loss, while jaundice was the clinical symptom in almost all. Biliary stent was put in 5 (6.6%). Biloma was seen in 3 (4.0%). Success was evaluated by referencing direct bilirubin levels before and after drainage and clinical recovery. These bilirubin levels were statistically compared via Wilcoxon signed ranks test. Results: It was succeeded in 70 patients. Mean bilirubin was 14.2±7.4 mg/dl (3.0-36.0) before drainage and 7.1±5.5 mg/dl (0.2-20.0) after drainage. Direct bilirubin levels decreased significantly (p<0.001). The procedure was failed in 2 (2.6%). Success was in 89.5% of malignant biliary drainages and all associated bilomas. Conclusion: Percutaneous biliary drainage is not only an effective interventional radiological method in palliation therapy of malignant biliary obstruction but also associated bilomas. Drainage type should be chosen on the grounds of clinical status of each patient and depending on expertise of operator or intervention a list and should be switched among percutaneous biliary drainage technique and endoscopic biliary drainage or surgical treatment technique.},
 year = {2017}
}

Copy | Download

TY - JOUR
T1 - The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas
AU - Bilgin Kadri Aribas
AU - Cetin Imamoglu
AU - Ahmet Bayrak
AU - Hale Aydin
AU - Emrah Caglar
Y1 - 2017/12/03
PY - 2017
N1 - https://doi.org/10.11648/j.rs.20170204.13
DO - 10.11648/j.rs.20170204.13
T2 - Rehabilitation Science
JF - Rehabilitation Science
JO - Rehabilitation Science
SP - 85
EP - 90
PB - Science Publishing Group
SN - 2637-594X
UR - https://doi.org/10.11648/j.rs.20170204.13
AB - Objective: To handle efficacy of percutaneous biliary drainage not only in cases with malignant biliary obstructive jaundice, but associated bilomas as well. Also, it is to evaluate our series with previous series in this review. Material and Method: Review of previous series in which between January 1998 and July 2008, percutaneous biliary drainage was performed in 47 men and 29 women, 76 patients with malignant biliary obstruction. Ages were between 29 and 80 years, mean age: 55.0 years. Our patients had pain, emesis, vomiting, itching, weakness, and weight loss, while jaundice was the clinical symptom in almost all. Biliary stent was put in 5 (6.6%). Biloma was seen in 3 (4.0%). Success was evaluated by referencing direct bilirubin levels before and after drainage and clinical recovery. These bilirubin levels were statistically compared via Wilcoxon signed ranks test. Results: It was succeeded in 70 patients. Mean bilirubin was 14.2±7.4 mg/dl (3.0-36.0) before drainage and 7.1±5.5 mg/dl (0.2-20.0) after drainage. Direct bilirubin levels decreased significantly (p<0.001). The procedure was failed in 2 (2.6%). Success was in 89.5% of malignant biliary drainages and all associated bilomas. Conclusion: Percutaneous biliary drainage is not only an effective interventional radiological method in palliation therapy of malignant biliary obstruction but also associated bilomas. Drainage type should be chosen on the grounds of clinical status of each patient and depending on expertise of operator or intervention a list and should be switched among percutaneous biliary drainage technique and endoscopic biliary drainage or surgical treatment technique.
VL - 2
IS - 4
ER -

Copy | Download

Author Information

Bilgin Kadri Aribas

Department of Radiology, University of Health Sciences, Ankara, Turkey
Cetin Imamoglu

Department of Radiology, University of Health Sciences, Ankara, Turkey
Ahmet Bayrak

Department of Radiology, University of Health Sciences, Ankara, Turkey
Hale Aydin

Department of Radiology, University of Health Sciences, Ankara, Turkey
Emrah Caglar

Department of Radiology, Bulent Ecevit University School of Medicine, Zonguldak, Turkey

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Bilgin Kadri Aribas, Cetin Imamoglu, Ahmet Bayrak, Hale Aydin, Emrah Caglar. (2017). The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas. Rehabilitation Science, 2(4), 85-90. https://doi.org/10.11648/j.rs.20170204.13

Copy | Download

ACS Style

Bilgin Kadri Aribas; Cetin Imamoglu; Ahmet Bayrak; Hale Aydin; Emrah Caglar. The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas. Rehabil. Sci. 2017, 2(4), 85-90. doi: 10.11648/j.rs.20170204.13

Copy | Download

AMA Style

Bilgin Kadri Aribas, Cetin Imamoglu, Ahmet Bayrak, Hale Aydin, Emrah Caglar. The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas. Rehabil Sci. 2017;2(4):85-90. doi: 10.11648/j.rs.20170204.13

Copy | Download

@article{10.11648/j.rs.20170204.13,
  author = {Bilgin Kadri Aribas and Cetin Imamoglu and Ahmet Bayrak and Hale Aydin and Emrah Caglar},
  title = {The Experience on Percutaneous Biliary Drainage in Malignant Biliary Obstruction and Associated Bilomas},
  journal = {Rehabilitation Science},
  volume = {2},
  number = {4},
  pages = {85-90},
  doi = {10.11648/j.rs.20170204.13},
  url = {https://doi.org/10.11648/j.rs.20170204.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20170204.13},
  abstract = {Objective: To handle efficacy of percutaneous biliary drainage not only in cases with malignant biliary obstructive jaundice, but associated bilomas as well. Also, it is to evaluate our series with previous series in this review. Material and Method: Review of previous series in which between January 1998 and July 2008, percutaneous biliary drainage was performed in 47 men and 29 women, 76 patients with malignant biliary obstruction. Ages were between 29 and 80 years, mean age: 55.0 years. Our patients had pain, emesis, vomiting, itching, weakness, and weight loss, while jaundice was the clinical symptom in almost all. Biliary stent was put in 5 (6.6%). Biloma was seen in 3 (4.0%). Success was evaluated by referencing direct bilirubin levels before and after drainage and clinical recovery. These bilirubin levels were statistically compared via Wilcoxon signed ranks test. Results: It was succeeded in 70 patients. Mean bilirubin was 14.2±7.4 mg/dl (3.0-36.0) before drainage and 7.1±5.5 mg/dl (0.2-20.0) after drainage. Direct bilirubin levels decreased significantly (p<0.001). The procedure was failed in 2 (2.6%). Success was in 89.5% of malignant biliary drainages and all associated bilomas. Conclusion: Percutaneous biliary drainage is not only an effective interventional radiological method in palliation therapy of malignant biliary obstruction but also associated bilomas. Drainage type should be chosen on the grounds of clinical status of each patient and depending on expertise of operator or intervention a list and should be switched among percutaneous biliary drainage technique and endoscopic biliary drainage or surgical treatment technique.},
 year = {2017}
}

Copy | Download