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Review
. 2023 Jan;63(1):30-37.
doi: 10.1007/s00117-022-01083-7. Epub 2022 Nov 21.

[Biliary system interventions : Percutaneous transhepatic cholangiodrainage to bilioma]

[Article in German]
Tatjana Dell  1 , Carsten Meyer  2
Affiliations
Review

[Biliary system interventions : Percutaneous transhepatic cholangiodrainage to bilioma]

[Article in German]
Tatjana Dell et al. Radiologie (Heidelb). 2023 Jan.

Abstract
in English, German

Background: A variety of transhepatic percutaneous biliary procedures are appropriate for the treatment of pathologies of the biliary system.

Objectives: The aim of this article is to describe best practices for performing percutaneous transhepatic cholangiography with placement of a biliary drain (PTCD), percutaneous transhepatic removal of bile duct stones, percutaneous stenting of the bile ducts, and percutaneous treatment of postoperative bilioma.

Materials and methods: The authors reviewed existing literature on relevant current recommendations and presented them based on their own facility's approach.

Results: Biliary interventions are mostly aimed at treating some form of cholestasis of benign or malignant etiology. The technical success rate is up to 90%.

Conclusion: Percutaneous biliary interventions are safe and effective procedures in the treatment of pathologies of the biliary system, preferably used when endoscopic access is not possible due to anatomical conditions.

Zusammenfassung: HINTERGRUND: Eine Vielzahl von transhepatischen perkutanen biliären Eingriffen ist für die Behandlung von Pathologien des biliären Systems geeignet.

Fragestellung: Aufzeigen bewährter Vorgehensweise bei der Durchführung der perkutanen transhepatischen Cholangiographie mit Anlage einer biliären Drainage (PTCD), der perkutanen transhepatischen Entfernung von Gallengangsteinen, der perkutanen Stentbehandlung der Gallenwege sowie der perkutanen Behandlung postoperativer Biliome.

Material und methode: Die Autoren sichteten die vorhandene Literatur zu den relevanten aktuellen Empfehlungen und stellen diese anhand der gängigen Vorgehensweise in der eigenen Einrichtung vor.

Ergebnisse: Die Interventionen an den Gallenwegen zielen zumeist auf die Behandlung der Cholestase benigner oder maligner Genese ab. Die technische Erfolgsrate liegt bei bis zu 90 %.

Schlussfolgerungen: Perkutane Gallenweginterventionen sind sichere und effektive Verfahren in der Behandlung von Pathologien des biliären Systems, welche nicht nur, aber bevorzugt zum Einsatz kommen, wenn der endoskopische Zugang aufgrund von anatomischen Gegebenheiten nicht gelingt.

Keywords: Balloon papilloplasty; Biliary drainage; Biliary stenting; Bilioma; Percutaneous transhepatic cholangiography.

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References

Literatur

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