Abstract
Interventional radiologists play a key role in the diagnosis and management of patients with benign and malignant biliary disease. Sophisticated noninvasive tools such as magnetic resonance cholangiopancreatography (MRCP) and computed tomographic cholangiography (CT cholangiography) can be used to identify biliary pathology. More invasive techniques such as percutaneous transhepatic cholangiography (PTC) and transhepatic image-guided biopsy can be used to clarify the extent of disease and secure a diagnosis. Once a diagnosis has been determined, patients with biliary obstruction or leak may benefit from percutaneous drainage as a prelude to definitive surgical intervention or as a palliative treatment for patients with malignant obstruction.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Barrett KE. Ganong’s review of medical physiology. 24th ed. New York: McGraw-Hill Medical; 2012. p. 512. ISBN 978-0-07-178003-2
Miura S, Kanno A, Masamune A, Hamada S, Takikawa T, Nakano E, et al. Bismuth classification is associated with the requirement for multiple biliary drainage in preoperative patients with malignant perihilar biliary stricture. Surg Endosc. 2015;29(7):1862–70.
McCune WS. ERCP--the first twenty years. Gastrointest Endosc. 1988;34(3):277–8.
Ring EJ, Husted JW, Oleaga JA, Freiman DBA. Multihole catheter for maintaining longterm percutaneous antegrade biliary drainage. Radiology. 1979;132(3):752–4.
Oleaga JA, Ring EJ. Interventional biliary radiology. Semin Roentgenol. 1981;16(2):116–24.
Harbin WP, Ferrucci JT Jr. Nonoperative management of malignant biliary obstruction: a radiologic alternative. AJR Am J Roentgenol. 1980;135(1):103–7.
Okuda K, Tanikawa K, Emura T, Kuratomi S, Jinnouchi S. Nonsurgical, percutaneous transhepatic cholangiography--diagnostic significance in medical problems of the liver. Am J Dig Dis. 1974;19(1):21–36.
Sharaiha RZ, Khan MA, Kamal F, Tyberg A, Tombazzi CR, Ali B, et al. Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis. Gastrointest Endosc. 2017;85:904–14.
Zhang GY, Li WT, Peng WJ, Li GD, He XH, Clinical XLC. Outcomes and prediction of survival following percutaneous biliary drainage for malignant obstructive jaundice. Oncol Lett. 2014;7(4):1185–90.
Levy JL, Sudheendra D, Dagli M, Mondschein JI, Stavropoulos SW, Shlansky-Goldberg RD, et al. Percutaneous biliary drainage effectively lowers serum bilirubin to permit chemotherapy treatment. Abdom Radiol (NY). 2016;41(2):317–23.
Stampfl U, Hackert T, Radeleff B, Sommer CM, Stampfl S, Werner J, et al. Percutaneous management of postoperative bile leaks after upper gastrointestinal surgery. Cardiovasc Intervent Radiol. 2011;34(4):808–15.
Fang Y, Gurusamy KS, Wang Q, Davidson BR, Lin H, Xie X, et al. Meta-analysis of randomized clinical trials on safety and efficacy of biliary drainage before surgery for obstructive jaundice. Br J Surg. 2013;100(12):1589–96.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Kerlan, R.K., LaBerge, J. (2018). Biliary Drainage. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_40
Download citation
DOI: https://doi.org/10.1007/978-3-319-71300-7_40
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71299-4
Online ISBN: 978-3-319-71300-7
eBook Packages: MedicineMedicine (R0)