Preventive strategy from catheter dislocation in percutaneous transhepatic biliary drainage

DOI 15 References
  • ANDOH Hideaki
    Surgical Division, Nakadori General Hospital (Akita)
  • YASUI Ouki
    Department of Gastroenterological Surgery, Akita University School of Medicine (Akita)
  • KUROKAWA Toshiaki
    Department of Gastroenterological Surgery, Akita University School of Medicine (Akita)
  • ABE Fukumitsu
    Department of Gastroenterological Surgery, Akita University School of Medicine (Akita)
  • YAMAMOTO Yuzo
    Department of Gastroenterological Surgery, Akita University School of Medicine (Akita)

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Other Title
  • 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

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Description

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.

Journal

  • Tando

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

    Japan Biliary Association

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