[Biliary system interventions : Percutaneous transhepatic cholangiodrainage to bilioma].

Radiologie (Heidelb)

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.

Published: January 2023

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.

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http://dx.doi.org/10.1007/s00117-022-01083-7DOI Listing

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