THERAPEUTIC BILIARY ENDOSCOPY: EXPERIENCE AT A SERVICE HOSPITAL.

Area of Science:

• Gastroenterology
• Endoscopy
• Biliary Medicine

Background:

• Obstructive jaundice presents a significant clinical challenge.
• Therapeutic Biliary Endoscopy (TBE) is an emerging treatment modality.
• Early experience with TBE is crucial for understanding its efficacy and safety.

Purpose of the Study:

• To evaluate the early experience of Therapeutic Biliary Endoscopy (TBE) for obstructive jaundice.
• To assess the success rates and complications of TBE in a diverse patient cohort.
• To determine the role of TBE in managing various causes of biliary obstruction.

Main Methods:

• Retrospective analysis of 46 patients undergoing TBE for obstructive jaundice.
• Procedures included Endoscopic Sphincterotomy (ES) and drainage (stenting/nasobiliary drain).
• Etiologies included choledocholithiasis, benign/malignant strictures, and papillary stenosis.

Main Results:

• Technical success of Endoscopic Sphincterotomy (ES) was 100%.
• Prompt symptomatic relief was achieved in 43 patients (93.5%).
• Bile duct clearance was successful in 93.5% of choledocholithiasis cases with a low complication rate (4.4%).

Conclusions:

• Therapeutic Biliary Endoscopy (TBE) is a safe, effective, and simple treatment for choledocholithiasis.
• TBE is beneficial for selected cases of malignant biliary obstruction.
• TBE offers a valuable minimally invasive option for managing obstructive jaundice.