Author/Authors :
Shu, Jian-Chang Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Shu, Jian-Chang Charles Sturt University - School of Biomedical Sciences, Australia , Yang, Qi-Hong Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Lv, Xia Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Zhang, Wen-Ru Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Li, Ming-En Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Zhang, Xiao-Yan Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Song, Hui-Dong Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Ye, Guo-Rong Jinan University - Guangzhou Red Cross Hospital - Department of Gastroenterology, China , Wang, Le-Xin Charles Sturt University - School of Biomedical Sciences, Australia
Abstract :
Objective: To investigate the safety and efficacy of percutaneous endoscopic gastrostomy/ jejunostomy (PEG/PEJ) combined with percutaneous transhepatic biliary drainage (PTCD) in treating malignant biliary obstruction. Subjects and Methods: Nine patients (6 males and 3 females, average age 71.3 ± 5.5 years) with complete obstruction of the biliary tract were treated with PEG/PEJ after PTCD. The PEG/PEJ and PTCD tubes were linked outside of the abdominal wall to direct the externally drained bile back to the jejunum through the PEG/PEJ intestinal tube. Clinical symptoms and liver function were assessed following the treatment. Results: The operations were successfully completed in the 9 patients within 40 min (average 35 ± 2.9 min). Clinical symptoms such as jaundice, abdominal distension, stomachache and diarrhea appeared but improved within 7 days of the operation. Serum levels of bilirubin, aspartate aminotransferase and alanine aminotransferase were reduced (p 0.01) 4 weeks following the treatment. There were no procedural complications. Conclusions: Combined PEG/PEJ and PTCD appeared to be safe and effective in the management of malignant biliary obstruction. Further, larger-scale studies will be needed to verify findings of this report.
Keywords :
Percutaneous endoscopic gastrostomy , jejunostomy , Percutaneous transhepatic biliary drainage , Biliary obstruction , Hepatic function
