[Transjugular hepatic biopsy. Technic and indications in hepatobiliary diseases]. / La biopsia hepática transyugular. Técnica e indicaciones en las enfermedades hepatobiliares.

The result of 25 transjugular liver biopsies are described. The indications of this technique were: Abnormal blood clotting 65%. Failure of previous percutaneous biopsy 15%. Requirements of suprahepatic venography and or manometry. Perforation of the hepatic capsule was evident in three patients when contrast medium injected after the biopsy escaped under the capsule but without evidence of bleeding. The transjugular liver biopsy is not easy but safe and preferable technique in the management of selected patients.

La biopsia hepática transyugular. Técnica e indicaciones en las enfermedades hepatobiliares. / [Transjugular hepatic biopsy. Technic and indications in hepatobiliary diseases]

The result of 25 transjugular liver biopsies are described. The indications of this technique were: Abnormal blood clotting 65

. Failure of previous percutaneous biopsy 15

. Requirements of suprahepatic venography and or manometry. Perforation of the hepatic capsule was evident in three patients when contrast medium injected after the biopsy escaped under the capsule but without evidence of bleeding. The transjugular liver biopsy is not easy but safe and preferable technique in the management of selected patients.

[Percutaneous transhepatic biliary drainage in obstructive jaundice]. / Drenaje biliar transhepático percutáneo en las ictericias obstructivas.

PTC was performed in 86 patients with obstructive jaundice, between February/80--March/81 diagnosing 20 cases of the hepatic hilium carcinoma, 14 of pancreatic carcinoma, and 2 multiplex abscess of the liver. PTC-D was successfully attempted on 16 patients, catheterizing the intrahepatic biliary tree in 15 and maintaining a good biliary flow in 10 of them. The catheter was on the correct position into the biliary tree in 6 patients, and the drainage continued for 7-20 days. General improvement was obtained in 83.33%, itching decreased in 40% and disappeared in 60%, cholestasis was reduced in 100% and sepsis in 75%. Complications of the technique were: pain during the introduction of the guide wire (18.75%) and transitory hemobilia (31.21%). PTC-D seems to be a procedure with a precisely indication in every transitory obstructive jaundice, in order to put the patient in better conditions to a definitive therapy: 1) Surgery 2) Prosthesis 3) External-internal biliary drainage.

Drenaje biliar transhepático percutáneo en las ictericias obstructivas. / [Percutaneous transhepatic biliary drainage in obstructive jaundice]

PTC was performed in 86 patients with obstructive jaundice, between February/80--March/81 diagnosing 20 cases of the hepatic hilium carcinoma, 14 of pancreatic carcinoma, and 2 multiplex abscess of the liver. PTC-D was successfully attempted on 16 patients, catheterizing the intrahepatic biliary tree in 15 and maintaining a good biliary flow in 10 of them. The catheter was on the correct position into the biliary tree in 6 patients, and the drainage continued for 7-20 days. General improvement was obtained in 83.33

, itching decreased in 40

and disappeared in 60

, cholestasis was reduced in 100

and sepsis in 75

. Complications of the technique were: pain during the introduction of the guide wire (18.75

) and transitory hemobilia (31.21

). PTC-D seems to be a procedure with a precisely indication in every transitory obstructive jaundice, in order to put the patient in better conditions to a definitive therapy: 1) Surgery 2) Prosthesis 3) External-internal biliary drainage.

Drenaje biliar transhepático percutáneo en las ictericias obstructivas / [Percutaneous transhepatic biliary drainage in obstructive jaundice]

PTC was performed in 86 patients with obstructive jaundice, between February/80--March/81 diagnosing 20 cases of the hepatic hilium carcinoma, 14 of pancreatic carcinoma, and 2 multiplex abscess of the liver. PTC-D was successfully attempted on 16 patients, catheterizing the intrahepatic biliary tree in 15 and maintaining a good biliary flow in 10 of them. The catheter was on the correct position into the biliary tree in 6 patients, and the drainage continued for 7-20 days. General improvement was obtained in 83.33

, itching decreased in 40

and disappeared in 60

, cholestasis was reduced in 100

and sepsis in 75

. Complications of the technique were: pain during the introduction of the guide wire (18.75

) and transitory hemobilia (31.21

). PTC-D seems to be a procedure with a precisely indication in every transitory obstructive jaundice, in order to put the patient in better conditions to a definitive therapy: 1) Surgery 2) Prosthesis 3) External-internal biliary drainage.