The Benefits of Intervention Radiology in Treatment of Neoplastic Obstructive Jaundice
Listed in
This article is not in any list yet, why not save it to one of your lists.Abstract
Background Jaundice is frequently caused by malignant biliary tract obstruction. Many tools can be used in diagnosis; some of them are non-invasive while others are invasive. PTC at recent history is used as therapeutic technique. The objective of the investigation was to identify the advantages of intervention radiology in the management of neoplastic obstructive jaundice. Methods This was an interventional study was conducted on 30 patients aged from 37 to 75 old, both sexes, with malignant obstructive jaundice. History-taking was implemented for each patient, clinical Examination [general, and local abdominal examination], radiological investigation [abdominal ultrasound, and triphasic CT, and direct cholangiography], and laboratory assessment [serum bilirubin, serum alkaline phosphatase, serum liver enzymes, including serum glutamic pyruvic transaminase and serum glutamic oxaloacetic transaminase, and prothrombin time and concentration, both total and direct]. Results Total bilirubin was significantly decreased after intervention than before intervention (P value < 0.001). Regarding the interventional techniques, 28 (93.33%) Patients underwent both internal and external biliary drainage, 1 (3.33%) patient underwent internal & An external biliary drainage was performed on one patient (3.33%), Subsequently, a metallic stent is inserted into the common bile duct, and two additional metallic stents are inserted into the right and left hepatic ducts. Furthermore, one patient underwent both internal and external biliary drainage. Conclusions Interventional radiology provides significant symptomatic relief to patients with malignant biliary obstruction, thereby enhancing their quality of life.