経皮経肝的胆道ドレナージにおけるチューブ逸脱予防対策

DOI 参考文献15件

書誌事項

タイトル別名
  • Preventive strategy from catheter dislocation in percutaneous transhepatic biliary drainage

この論文をさがす

説明

We have previously reported that catheter displacement occurred in 18% in percutaneous transhepatic biliary drainage (PTBD), and the incidence was significantly higher in the patients in whom PTBD tubes were inserted through the right chest wall or in the patients in whom the distance of the catheter in the bile duct was not enough long. From 1997 to 2002, we standardized our PTBD method to an approach from the anterior abdominal wall to the left peripheral intrahepatic bile duct. The displacement of the catheter significantly decreased to only 1.4% (3 out of 219catheters). However, readjustment of the location of the catheter tip during the early peri od following initial placement was very important to prevent its dislocation even in this method because intraductal distance of the catheter was easily shortened due to effective drainage and succeeding normalization of biliary tree. In the cases in which sufficient intraductal distance of the catheter was hardly obtained due to stricture site, an immediate internal catheter fistularization using balloon catheter with multiple pores was effective.

収録刊行物

  • Tando

    Tando 17 (4-5), 391-395, 2003

    Japan Biliary Association

参考文献 (15)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ