Korean J Gastrointest Endosc.  1998 Feb;18(1):33-39.

The Evaluation and Treatment of the Obstructive Biliary Disease through the Percutaneous Transhepatic Choledocoscopy (PTCS )

• Kim MW
• Jo HC
• Jo JH
• Choo JH
• Kim WS
• Oo GC
• Gang MW
• Im YG
• Yeo HS
• Park HB

Abstract

BACKGROUND/AIMS
Obstructive jaundice is developed from the cholangiocarcinoma, biiliary tract stone, biliary benign stricture and pancreatic head cancer and is rapidly progress to cholangitis or sepsis. So early decompression, accurate diagnosis and treatment are very important. Percutaneous transhepatic choledocoscopy (PTCS) and endoscopic retrograde choledocoscopy (ERCS) have been used for evaluation of the obstructive jaundice. We performed, through the PTCS, electrohydraulic lithotripsy (EHL) for biliary tract stone rernoval, biopsy for diagnosis of biliary stric and self expandible metalic coil stent (EndocoilTM stent, Instent Co.) insertion on biliary stricture to evaluate the usefullness of PTCS in patients with obstructive jaundice.
METHODS
Between Auguest 1994 and September 1995, PTCS was performed in 37 patients with obstructive jaundice. First, percutaneous transhepatic biliary drainage (PTBD) with 7Fr. drainage tube was done. Three days later, we exchainged the 7Fr. drainage tube with 16Fr.. Seven days later, through the PTCS, we performed EHL, biopsy and EndocoilTM stent insertion.

Keyword

Percutaneous transhepatic choledocoscopy ( PTCS ); Endocoil; Electrohydrauric lithotripsy ( EHL )

MeSH Terms

Biliary Tract
Biopsy
Cholangiocarcinoma
Cholangitis
Constriction, Pathologic
Decompression
Diagnosis
Drainage
Head and Neck Neoplasms
Humans
Jaundice, Obstructive
Lithotripsy
Sepsis
Stents