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Percutaneous biodegradable stent placement for treating benign biliary strictures: a systematic review.
J Vasc Interv Radiol
January 2025
Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands. Electronic address:
Purpose: To assess whether safety profile and treatment success of percutaneous biodegradable biliary stent placement are competitive with traditional treatment options for treatment of benign biliary strictures.
Materials And Methods: PubMed and EMBASE were systematically reviewed for articles reporting percutaneous biodegradable stent placement for treating benign biliary strictures. Databases were searched for articles until December 2023, with the earliest included article dating from April 2016.
Efficacy and safety of endoscopic nasobiliary drainage versus percutaneous transhepatic cholangial drainage in the treatment of advanced hilar cholangiocarcinoma: a systematic review and meta-analysis.
BMC Gastroenterol
September 2024
Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, P. R. China.
Article Synopsis
- This study compared the effectiveness and safety of Endoscopic Nasobiliary Drainage (ENBD) and Percutaneous Transhepatic Cholangiography Drainage (PTCD) in treating advanced Hilar Cholangiocarcinoma (HCCA) through a meta-analysis of 26 clinical trials.
- Results indicated that PTCD had a significantly higher success rate for biliary drainage and was better at reducing Total Bilirubin (TBIL) levels post-procedure, while ENBD had a lower overall complication rate, particularly in terms of post-drainage bleeding.
- The findings suggest that while PTCD is generally more effective for drainage and has fewer serious complications, ENBD presents a safer option concerning post-drainage hemorrhage.
Haemobilia as a primary presentation of cholangiocarcinoma.
BMJ Case Rep
August 2024
Hepato-pancreato-biliary Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
We present a case of haemobilia as a primary presentation for underlying cholangiocarcinoma. A man in his 50s initially presented to emergency with Quincke's triad, RUQ pain, jaundice and UGI bleeding. The initial diagnosis of haemobilia was made on endoscopic retrograde cholangiopancreatography (ERCP) on primary presentation, but the presence of blood and the recurrent clot obstruction of the biliary tract made the underlying diagnosis extremely difficult, resulting in the patient having 4 ERCP, 1 spyglass and multiple CTs and magnetic resonance cholangiopancreatography.
View Article and Find Full Text PDFImaging of hepato-pancreato-biliary emergencies in patients with cancer.
Diagn Interv Imaging
February 2024
Department of Medical Imaging, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, M5T 1W7, Canada. Electronic address:
Hepato-pancreato-biliary (HPB) emergencies in patients with cancer encompass an extensive array of various conditions, including primary malignancies that require prompt treatment, associated severe complications, and life-threatening consequences arising from treatment. In patients with cancer, the liver can be affected by chemotherapy-induced hepatotoxicity, veno-occlusive disease, Budd-Chiari syndrome, liver hemorrhage, and other complications arising from cancer therapy with all these complications requiring timely diagnosis and prompt treament. Cholecystitis induced by systemic anticancer therapies can result in severe conquences if not promptly identified and treated.
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