When endoscopic stent placement for the treatment of extrahepatic bile duct obstruction fails, combined endoscopic and percutaneous procedures can be utilized to successfully insert stents. A variety of procedures have been described, but have been associated with high complication rates. We have developed a modified technique whereby the patient is kept supine throughout the combined procedure and the risk of trauma and contamination are minimized. 27 patients (26 with malignant obstruction) underwent the combined procedure between August 1989 and December 1992 after endoscopic stent placement had failed. In two patients, the bile duct was accessed by a percutaneous transcholecystic route after transhepatic bile duct cannulation had failed. The success rate was 100 % with overall procedure related morbidity and mortality rates of 7.4% and 3.7% respectively. This appears to be a well tolerated technique with high success and low complication rates.
|Original language||English (US)|
|Number of pages||7|
|Journal||Journal of Interventional Radiology|
|State||Published - Dec 1 1994|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging