| Management of post-surgical biliary leakage with percutaneous transhepatic biliary drainage (PTBD) and occlusion balloon (OB) in patients without dilatation of the biliary tree: preliminary results. | |
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MedLine Citation:
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PMID: 19890645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the outcome of patients affected by biliary leak after major biliary surgery and treated with percutaneous transhepatic biliary drainage (PTBD) alone with that of similar patients treated with PTBD and concurrent positioning of an occlusion balloon (PTBD-OB). METHODS: We retrospectively reviewed the results of the use of PTBD or PTBD-OB performed at our institution from 2004 to 2008 in patients with post-surgical biliary leak. Sixteen patients entered the evaluation. PTDB alone was performed in 9 men (age 59.7 +/- 13.4 years [mean +/- standard deviation]; median 60 years), while PTBD-OB was performed in 7 patients (5 men, 2 women, age 71.3 +/- 9.3 years; median 68 years). RESULTS: No significant difference between groups was found regarding age (p = 0.064) and sex (p = 0.175) distribution, number of procedures (3.1 +/- 1.62; 2 vs 1.7 +/- 1.1; 1, p = 0.151), and days of disease before recovery, death or modification of treatment (51.6 +/- 66.8; 23 vs 18.6 +/- 15.1; 14, p = 0.266). The number of patients treated with PTBD-OB who fully recovered (7/7, 100%) was significantly higher than that of patients treated with PTBD alone (4/9, 44%, p = 0.034). CONCLUSION: This procedure appears to be clinically effective, being associated with a higher probability of recovery in patients treated for post-surgical biliary leak. Further studies are needed to confirm these preliminary results. |
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Authors:
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Vittorio Pedicini; Dario Poretti; Giovanni Mauri; Manuela Trimboli; Giorgio Brambilla; Luca Maria Sconfienza; Gianpaolo Cornalba; Francesco Sardanelli |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-11-05 |
Journal Detail:
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Title: European radiology Volume: 20 ISSN: 1432-1084 ISO Abbreviation: Eur Radiol Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-04-07 Completed Date: 2010-07-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 1061-8 Citation Subset: IM |
Affiliation:
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Department of Diagnostic Imaging, Humanitas Clinical Institute, Via Manzoni 56, 20098, Rozzano, Milan, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Balloon Occlusion / methods* Bile Ducts, Intrahepatic Biliary Tract Diseases / radiography, surgery, therapy* Chi-Square Distribution Cholangiography Drainage / methods* Female Gastrointestinal Neoplasms / radiography, surgery Humans Male Middle Aged Postoperative Complications / radiography, therapy* Radiography, Interventional Retrospective Studies Statistics, Nonparametric Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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