[Experience with percutaneous transhepatic cholangiography]

Abstract

After description of the technical performance of the percutaneous transhepatic cholangiography is reported on experiences with this method. 114 examinations were performed and in 87.6% the bile ducts were described. The result of the percutaneous transhepatic cholangiography confirmed itself in 85% of the patients, in 10% the diagnosis dilated itself according to the result of the operation, and in 5% the diagnosis had to be changed. In 12.4% no biliary duct could be punctured, among them were 10 anicteric patients. The reflux technique described has a high number of impact and a good evidence in the morphological differentiation of the obstruction syndrome. It seems not indicated for anicteric patients. Indications, contraindications and the comparison of the examination method to the ERC are described. The percutaneous transhepatic cholangiography may be used with simple apparative and instrumental means.