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Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography.

Publication ,  Journal Article
Mergener, K; Suhocki, P; Enns, R; Jowell, PS; Branch, MS; Baillie, J
Published in: Gastrointest Endosc
February 1999

BACKGROUND: Percutaneous biliary drainage is an established alternative to ERCP for managing bile duct obstruction. Although generally safe and effective, percutaneous drainage has its risks and is technically more difficult in patients with nondilated bile ducts. We report the use of nasobiliary drains and subsequent nasobiliary drain cholangiography to facilitate percutaneous biliary drainage by providing a target for accessing intrahepatic bile ducts. METHODS/RESULTS: Nine patients who were identified as requiring percutaneous biliary drainage underwent nasobiliary tube placement at completion of ERCP. Five of 9 patients had generalized intrahepatic ductal dilatation; in 4 patients, dilatation was focal or absent. Following nasobiliary drain cholangiography, percutaneous needle puncture of a bile duct was successful in all patients, in most cases with only a single puncture of the liver capsule. No procedural complications were encountered. CONCLUSION: Nasobiliary drain placement with subsequent nasobiliary drain cholangiography facilitates percutaneous biliary drainage and may be especially helpful in patients with nondilated intrahepatic bile ducts.

Duke Scholars

Published In

Gastrointest Endosc

DOI

ISSN

0016-5107

Publication Date

February 1999

Volume

49

Issue

2

Start / End Page

240 / 242

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sensitivity and Specificity
  • Humans
  • Gastroenterology & Hepatology
  • Drainage
  • Dilatation
  • Cholestasis
  • Cholangiopancreatography, Endoscopic Retrograde
  • Catheterization
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mergener, K., Suhocki, P., Enns, R., Jowell, P. S., Branch, M. S., & Baillie, J. (1999). Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography. Gastrointest Endosc, 49(2), 240–242. https://doi.org/10.1016/s0016-5107(99)70493-1
Mergener, K., P. Suhocki, R. Enns, P. S. Jowell, M. S. Branch, and J. Baillie. “Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography.Gastrointest Endosc 49, no. 2 (February 1999): 240–42. https://doi.org/10.1016/s0016-5107(99)70493-1.
Mergener K, Suhocki P, Enns R, Jowell PS, Branch MS, Baillie J. Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography. Gastrointest Endosc. 1999 Feb;49(2):240–2.
Mergener, K., et al. “Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography.Gastrointest Endosc, vol. 49, no. 2, Feb. 1999, pp. 240–42. Pubmed, doi:10.1016/s0016-5107(99)70493-1.
Mergener K, Suhocki P, Enns R, Jowell PS, Branch MS, Baillie J. Endoscopic nasobiliary drain placement facilitates subsequent percutaneous transhepatic cholangiography. Gastrointest Endosc. 1999 Feb;49(2):240–242.
Journal cover image

Published In

Gastrointest Endosc

DOI

ISSN

0016-5107

Publication Date

February 1999

Volume

49

Issue

2

Start / End Page

240 / 242

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sensitivity and Specificity
  • Humans
  • Gastroenterology & Hepatology
  • Drainage
  • Dilatation
  • Cholestasis
  • Cholangiopancreatography, Endoscopic Retrograde
  • Catheterization
  • 3202 Clinical sciences