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Related Experiment Video

Updated: Feb 1, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Image-Guided Biliary Interventions: How to Recognize, Avoid, or Get Out of Trouble.

Steven J Krohmer1, Anil K Pillai2, Carlos J Guevara3

  • 1Department of Interventional Radiology, University of Kentucky HealthCare, Lexington, KY.

Techniques in Vascular and Interventional Radiology
|December 15, 2018
PubMed
Summary

Percutaneous biliary drainage is key for managing liver and bile duct diseases. This guide details the standard technique, complication prevention, and treatment strategies for percutaneous transhepatic cholangiography and drainage.

Keywords:
Biliarycomplicationshazardspearlsportaltrouble

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Area of Science:

  • Interventional Radiology
  • Hepatobiliary Medicine

Background:

  • Percutaneous biliary interventions are crucial for hepatobiliary disease management.
  • Ensuring good patient outcomes relies on recognizing and mitigating potential complications.

Purpose of the Study:

  • To outline the standard technique for percutaneous biliary drainage.
  • To provide strategies for minimizing complications during these procedures.
  • To describe methods for managing complications that arise.

Main Methods:

  • Detailed description of the standard percutaneous transhepatic cholangiography technique.
  • Discussion of procedural "pearls" to reduce complication risks.
  • Review of treatment approaches for managing complications.

Main Results:

  • The standard technique for percutaneous biliary drainage is presented.
  • Key strategies for complication avoidance are highlighted.
  • Effective management options for identified complications are discussed.

Conclusions:

  • Mastery of percutaneous biliary interventions requires understanding standard techniques and complication management.
  • Adherence to best practices can significantly improve patient outcomes in percutaneous transhepatic cholangiography and drainage.