Clinical application of overriding external drainage in high malignant obstructive jaundice / 实用放射学杂志

ABSTRACT

Objective To explore the bile drainage method in patients with high malignant obstructive jaundice.Methods 13 pa-tients with high obstructive jaundice were confirmed by type-B ultrasonography,CT and MR cholangiopancreatography (MRCP). Under C arm X-ray machine,we performed percutaneous puncture of the right hepatic duct and external drainage of the left and right hepatic ducts by the internal and external bile drainage tube (COOK Company).Results All of 13 patients,1 was carcinoma of head of pancreas,1 was metastatic tumor in hepatic hilar region,and 1 1 cases were cholangiocarcinomas.They were successfully per-formed external biliary drainage riding across the left and right hepatic ducts.The patients were followed up at 1-1 5 months.2 pa-tients died with cachexia after 1 and 4 months.For the other patients,jaundice was relieved and appetite was improved.Conclusion The overriding external biliary drainage is an effective drainage method for completely high obstructive jaundice.