Рентгенология & Радиология, 2017, LVI 236-240

Interventional procedures of obstructive jaundice

Ch. Bachvarov, G. Todorov, G. Valchev, N. Kolev, A. Tonev,V. Ignatov, K. Ivanov, E. Dimitrova, N. Tsonev

Abstract.

The first transhepatic cholangiography wasperformed in 1937, by 1970 drainage was performed bysurgical operation. In the last 30 years, endoscopic and percutaneous biliary drainage has already been performed in most hospitals. These minimal invasive methods are a revolution in the treatment of patients with obstructive jaundice. Percutaneous transhepatic biliary drainage (PTHD) is a therapeutic method that involves percutaneous puncture of biliary tree under imaging control. Percutaneous transhepatic biliary drainage (PTHD) is a method for drainage biliary tree, administered in palliative treatment for patients with malignant obstruction or stenosis. Golden standart of puncture biliary tree is ultrasound control. Percutaneous transhepatic cholangiography and drainage is done by x-rays. Patients with biliary obstruction by a malignant ostruction have poor quality of life and worse prognosis. Early biliary drainage to improvement in liver function.

Key words: BILIARY OBSTRUCTION. TRANSHEPATIC CHOLANGIOGRAPHY. TRANSHEPATIC BILIARY DRAINAGE