Interventional radiology in billiary diseases: A non-surgical therapeutic option

Abstract

Purpose: This study was undertaken to report our experience in Al-Amiri Hospital in Kuwait in the different billiary interventional procedures used for management of billiary diseases. Patients and methods: The study was conducted from March 2007 until September 2009 on 64 patients suffering from obstructive jaundice and/or billiary diseases due to different causes. Results: According to the patient's diagnosis and the interventional procedure applied, our patients were classified into four groups: (I) patients with malignant obstructive jaundice who had decompression of the obstructed billiary tree; encountered in 44 patients (68.75%). (II) Patients with benign billiary strictures encountered in 9 patients (14.06%), where successful balloon dilatation was encountered in 6 patients (9.37%). (III) Patients with bile duct stones who had stone removal; encountered in 8 patients (12.5%), with successful stones elimination in all of the 8 patients. (IV) Patients with bile leak due to bile duct defect and leakage who had billiary stenting till sealing of the bile leak; encountered in 3 patients (4.68%). Technical and clinical success rate in this patient series was high and comparable with the results of the others. Conclusion: Percutaneous transhepatic billiary interventional techniques could be done as an alternative management to surgical interference in patients with billiary diseases, with low morbidity and mortality rates and favorable outcome (high clinical success rates). © 2010 Egyptian Society of Radiology and Nuclear Medicine. Production and hosting by Elsevier B.V. All rights reserved.