What is a percutaneous transhepatic cholangiography used for?

Percutaneous transhepatic cholangiography is a minimally invasive diagnostic and/or therapeutic procedure to evaluate and treat obstruction in the biliary tract. The biliary tract is the drainage system for the liver and gallbladder.

What is PTBD stenting?

Percutaneous transhepatic biliary drainage (PTBD) and stenting are emerging alternative treatments for malignant obstructive jaundice. PTBD and stenting have exhibited good efficacy for the treatment of malignant obstructive jaundice, with few complications and reduced associated pain.

When should a percutaneous transhepatic Cholangiogram PTC be performed?

PTC is usually performed for evaluation of patients who are found to have biliary duct dilation on ultrasonography or other imaging tests and who are not candidates for endoscopic retrograde cholangiopancreatography (ERCP).

How much pain is common after ERCP with stent?

It’s caused by pain travelling along a nerve that goes to the liver. The referred pain usually lasts less than 12 hours. You may have a small amount of bleeding from the puncture site. You will need to take it easy at home for 1 to 3 days after the PTC.

How long does a PTC procedure take?

How long does the PTC procedure take? The procedure will take approximately one hour. Some children may need to arrive may hours before the procedure to have certain lab tests performed, which will be clearly communicated to you.

Can they drain your liver?

If your bile duct is blocked, your doctor may recommend that you have a biliary drainage catheter placed. This will allow the bile to drain from your liver. There are 3 different ways bile can be drained from your liver. Your doctor will discuss these with you before your procedure.

How is a biliary stent used in a cholangiogram?

It is done by placing a needle into your bile duct, injecting Iodinated ‘Contrast’ (once called x-ray dye) and taking x-ray pictures. Depending on your condition you may also require a biliary stent or drain to be inserted. A biliary stent is used instead of surgery to deal with a narrowed or blocked bile duct.

What is percutaneous transhepatic biliary drainage procedure?

What is percutaneous biliary drainage? Percutaneous transhepatic biliary drainage is a procedure where a small, flexible, plastic tube is placed through the skin into the liver in order to drain an obstructed bile duct system.The liver produces bile which aids digestion of fats.

How are images taken in percutaneous transhepatic cholangiography?

Once a satisfactory position of the needle is confirmed, an adequate amount of contrast material is injected and various projections of the biliary tree are obtained to evaluate the obstructive pathology. Images are taken in PA, RAO and LAO views,

How is PTC used in biliary stent placement?

Percutaneous transhepatic cholangiography (PTC) is a radiographic technique employed in visualisation of the biliary tree and can be used as the first step in a number of percutaneous biliary interventions (e.g. percutaneous transhepatic biliary stent placement) Article: Indications.