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Endoscopy 1986; 18(2): 52-54
DOI: 10.1055/s-2007-1018326
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© Georg Thieme Verlag KG Stuttgart · New York

Non-surgical Biliary Drainage: Endoscopic Conversion of Percutaneous Transhepatic into Endoprosthetic Drainage

H.-J. Brambs, P. Billmann, J. Pausch, A. Holstege, R. Salm
  • Department of Radiology, Department of Medicine, Department of Surgery, University of Freiburg
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

Percutaneous transhepatic drainage (PTD) is associated with many long-term complications. Therefore a large-diameter endoscopic endoprosthesis is preferentially employed to bridge a malignant obstruction of the biliary tract. Only if the placement of an endoprosthesis fails, must PTD be established. We present a simple method for converting PTD into a large endoprosthesis (14 F) with the aid of endoscopy. We have performed this conversion successfully in 8 patients without complications.

Key words:

Malignant biliary obstruction - PTD - Biliary endoprosthesis