ABSTRACT
Background: Malignant biliary obstruction has a bad prognosis and adverse effect on the quality of life, with most of those patients are inoperable at time of diagnosis. Aim and objectives: The purpose of the study was to evaluate the efficacy of different modalities of interventional radiological and imaging procedures as Percutenous Transhepatic cholangiography (PTC), Percutaneous Transhepatic drainage (PTD) and biliary stenting in management of patients with malignant obstructive jaundice. Subjects and methods: This study included 30 patients already diagnosed with malignant obstructive jaundice attending to Tanta Cancer Center (TCC) from MARCH 2021 to SEPTMBER 2021. Results: the highest rate of complication was among the percutaneous drainage group and the commonest occurring complication in the study was hemobillia, Among different groups in our study the lowest mean total bilirubin level 15 days after drainage was achieved with metallic stenting (3.8 mg/ml), while the highest mean total bilirubin level 15 days after drainage was seen in percutaneous external drainage (10 mg/dl). Conclusion: we can say that interventional radiology offers a great benefit for patients with malignant biliary obstruction in the term of symptomatic relief thus improving the quality of life.
Keywords: Cholangiography; Complication; Interventional; Percutaneous Transhepatic drainage