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World J Radiol. Sep 28, 2010; 2(9): 358-367
Published online Sep 28, 2010. doi: 10.4329/wjr.v2.i9.358
Published online Sep 28, 2010. doi: 10.4329/wjr.v2.i9.358
Table 1 Clinical conditions leading to high surgical risk in 122 patients with acute biliary disorders n (%)
Condition | Patients |
Advanced cardiovascular disease | 24 (19.68) |
Advanced multisystem disease | 21 (17.22) |
Advanced malignancy | 19 (15.57) |
Uncontrolled diabetes | 14 (11.48) |
Severe pancreatitis | 12 (9.83) |
Advanced respiratory disease | 11 (9.01) |
Advanced neurologic disease | 9 (7.38) |
Advanced liver disease | 7 (5.74) |
Morbid obesity | 5 (4.09) |
Total number of patients | 122 (100) |
Table 2 Patient classification according to their clinical presentation n (%)
Group | Clinical presentation | Patients |
Group 1 | Acute biliary obstruction | 59 (48.36) |
Group 2 | Acute biliary infection | 26 (21.31) |
Group 3 | Abnormal intra-abdominal collections related to acute biliary tract disorders | 37 (30.33) |
Total | 122 |
Table 3 Total numbers of the different imaging-guided interventional biliary procedures
Type of procedure | Patients (n) | |
1 | Computed tomography-guided biliary interventions | 73 |
2 | Ultrasonography-guided biliary interventions | 41 |
3 | Fluoroscopy-guided interventions | 25 |
Total number of procedures | 139 |
Table 4 Comparison between the different imaging-guided percutaneous drainage procedures and their success rate in patients with biliary obstruction
Type of procedure | No. of procedures | Successful procedures (n) | Success rate (%) |
Fluoroscopy-guided drainage | 16 | 10 | 62.5 |
US-guided drainage | 13 | 7 | 46.15 |
CT-guided drainage | 30 | 28 | 93.331 |
Table 5 Comparison between ultrasonography- and computed tomography-guided procedures in patients with acute biliary infection n (%)
Procedure | US-guided procedures | CT-guided procedures | ||
No. of procedures | Successful procedures | No. of procedures | Successful procedures | |
Pericholecystic abscess drainage | 5 | 2 (40) | 7 | 6 (85.7) |
Percutaneous cholecystostomy | 5 | 3 (60) | 5 | 5 (100) |
Drainage for cholangitis | 3 | 1 (33.3) | 6 | 5 (83.3) |
Total | 13 | 6 (46.15) | 18 | 16 (88.8)1 |
Table 6 Comparison between ultrasonography- and computed tomography-guided drainage procedures in patients with pathological intra-abdominal fluid collection
Type of collection | US-guided procedures | CT-guided procedures | ||
No. of procedures | Successful procedures | No. of procedures | Successful procedures | |
Bilomas | 4 | 2 (50) | 10 | 9 (90) |
Abscess | 6 | 3 (50) | 8 | 7 (87.5) |
Pancreatic pseudocysts | 5 | 3 (60) | 7 | 7 (100) |
Total | 15 | 8 (53.33) | 25 | 23 (92)1 |
- Citation: Donkol RH, Latif NA, Moghazy K. Percutaneous imaging-guided interventions for acute biliary disorders in high surgical risk patients. World J Radiol 2010; 2(9): 358-367
- URL: https://www.wjgnet.com/1949-8470/full/v2/i9/358.htm
- DOI: https://dx.doi.org/10.4329/wjr.v2.i9.358