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- W2997702034 abstract "Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a first-choice diagnostic and treatment procedure for patients with malignant obstructive jaundice. If ERCP is impossible to perform percutaneous transhepatic biliary drainage (PTBD) acts as an alternative method. The aim was to evaluate the effectiveness and the influence of ERCP prior PTBD in the treatment of patients with malignant obstructive jaundice. Methods: Retrospective review of patients undergoing PTBD from 2014 to 2015 at the Department of Surgery, Hospital of the Lithuanian University of Health Sciences was performed. Group I - ERCP prior PTBD, Group II - no ERCP prior PTBD. Length of hospital stay, total serum bilirubin values, additional interval procedures, complication and mortality rates were compared. Results: Group I consisted of 66 patients and Group II of 48 patients. PTBD significantly reduced total serum bilirubin values in both groups: from 287,87±118, 99μmol to 178,35±102,61μmol in Group I (p<0,001) and from 306,83±142,83 μmol to 215,97±127,19 μmol in Group II (p<0,001). However there was no statistically significant difference between total serum bilirubin values, drainage related complication and mortality rates, additional interval procedures. Conclusion: ERCP attempt prior PTBD was not associated with serum bilirubin reduction, higher drainage related complication or mortality rates. On the other hand, patients after ERCP, tend to stay longer in hospital, what is associated with higher treatment cost." @default.
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- W2997702034 date "2019-01-01" @default.
- W2997702034 modified "2023-09-26" @default.
- W2997702034 title "Does Endoscopic Retrograde Cholangiopancreatography influence the effectiveness of Percutaneous Transhepatic Biliary Drainage?" @default.
- W2997702034 doi "https://doi.org/10.1016/j.hpb.2019.10.1018" @default.
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