Placing Plastic Stent via Percutaneous Transhepatic Biliary Drainage following Failure of Endoscopic Retrograde Cholangiopancreatography: Review of Case Series

Abstract

The aim of this study is to describe the technical procedure, patency, and complications of percutaneous biliary plastic stent insertion following failure of the endoscopic approach. The data from 11 patients who underwent percutaneous plastic biliary stent placement following endoscopic approach failure between March 2022 and December 2023 were retrospectively evaluated. Stent placement was successful in all patients. Reduction of the total serum bilirubin level was achieved in all patients. No major complications occurred in all patients. A plastic stent provided enough drainage for patients with patency in our studies for up to 5 months.

Keywords

PTBD - plastic stent - biliary tract obstruction

Publication History

Received: 11 January 2024

Accepted: 04 April 2024

Article published online:
01 May 2024

• References

• 1 Devane AM, Annam A, Brody L. et al. Society of Interventional Radiology Quality Improvement Standards for Percutaneous Cholecystostomy and Percutaneous Transhepatic Biliary Interventions. J Vasc Interv Radiol 2020; 31 (11) 1849-1856
• 2 Parasher G, Lee JG. The role of ERCP in pancreatico-biliary malignancies. In: Cotton PB, Leung J. eds. Advanced Digestive Endoscopy: ERCP. Blackwell Publishing;; 2005
• 3 Abraham NS, Barkun JS, Barkun AN. Palliation of malignant biliary obstruction: a prospective trial examining impact on quality of life. Gastrointest Endosc 2002; 56 (06) 835-841
• 4 Wang G, Fu Y, Yu Y. Stent insertion for malignant hilar obstruction: a meta-analysis of percutaneous versus endoscopic approaches. Gastroenterology Review/Przegląd Gastroenterologiczny; 2023.
• 5 Alsulaiman RM, Barkun A. Malignant biliary obstruction: distal. In: ERCP: Expert Consult - Online and Print. Elsevier; 2007: 287-298
• 6 Arvanitakis M, Van Laethem JL, Pouzere S, Le Moine O, Deviere J. Predictive factors for survival in patients with inoperable Klatskin tumors. Hepatogastroenterology 2006; 53 (67) 21-27
• 7 Hu QL, Liu JB, Ellis RJ. et al. Association of preoperative biliary drainage technique with postoperative outcomes among patients with resectable hepatobiliary malignancy. HPB (Oxford) 2020; 22 (02) 249-257
• 8 Mocan T, Horhat A, Mois E. et al. Endoscopic or percutaneous biliary drainage in hilar cholangiocarcinoma: When and how?. World J Gastrointest Oncol 2021; 13 (12) 2050-2063
• 9 Bednarek M, Budzyński P, Poźniczek M, Rembiasz K. Percutaneous ultrasound-guided drainage of the biliary tree in palliative treatment of mechanical jaundice: 17 years of experience. Wideochir Inne Tech Malo Inwazyjne 2012; 7 (03) 193-196
• 10 Garcarek J, Kurcz J, Guziński M, Janczak D, Sąsiadek M. Ten years single center experience in percutaneous transhepatic decompression of biliary tree in patients with malignant obstructive jaundice. Adv Clin Exp Med 2012; 21 (05) 621-632
• 11 Lam R, Muniraj T. Fully covered metal biliary stents: a review of the literature. World J Gastroenterol 2021; 27 (38) 6357-6373
• 12 Gilbert DA, DiMarino Jr AJ, Jensen DM. et al; American Society for Gastrointestinal Endoscopy. Technology Assessment Committee. Status evaluation: biliary stents. Gastrointest Endosc 1992; 38 (06) 750-752
• 13 Guo Y, Li Y, Chen Y. et al. The cost-effectiveness analysis of percutaneous transhepatic metal versus plastic biliary stent implantation for treating malignant biliary obstruction (multiple center investigation). Chinese-German J Clin Oncol 2004; 3 (02) 117-121
• 14 Yoon WJ, Ryu JK, Yang KY. et al. A comparison of metal and plastic stents for the relief of jaundice in unresectable malignant biliary obstruction in Korea: an emphasis on cost-effectiveness in a country with a low ERCP cost. Gastrointest Endosc 2009; 70 (02) 284-289