EC Clinical and Medical Case Reports

Research Article Volume 7 Issue 11 - 2024

Percutaneous Biliary Drainage: Experience of the Mohammed V Military Teaching Hospital in Rabat - A Report of 23 Cases

Marrakchi Salma1*, Laridi Aya1, Sqalli Abdelkader1, Bouanane Rania1, Oualaalou Sakina2, El Fenni Jamal1 and En Nouali Hassane1

1Radiology Department, Mohammed V Military Teaching Hospital, Mohamed V University, Rabat, Morocco

2Gastroenterology 1 Department, Mohammed V Military Teaching Hospital, Mohamed V University, Rabat, Morocco

*Corresponding Author: Marrakchi Salma, Radiology Department, Mohammed V Military Teaching Hospital, Mohamed V University, Rabat, Morocco.
Received: October 04, 2024; Published: October 25, 2024



Biliary obstructions, whether benign or malignant, can lead to serious complications like cholangitis, sepsis, or liver failure if untreated. This study retrospectively evaluates 23 cases of percutaneous biliary drainage (PBD) at the Mohammed V Military Hospital from July 2022 to July 2024. The study focuses on patient demographics, procedural techniques, and complications. The majority of biliary obstructions were malignant, primarily due to cholangiocarcinoma and pancreatic head tumors. Technical and clinical success was achieved in 78.3% of cases, with a significant reduction in bilirubin levels post-procedure. However, 26.1% of patients experienced complications, including cholangitis, sepsis, and hemorrhage, with a mortality rate of 4.3%. The median hospital stay was 7 days. PBD remains a crucial intervention for managing biliary obstructions, though it requires careful patient selection, imaging, and post-procedural care to reduce risks and improve outcomes.

 Keywords: Percutaneous Biliary Drainage; Biliary Obstruction; Radiology Intervention

  1. Malka D., et al. “Cancer des voies biliaires”. Thésaurus National de Cancérologie Digestive (2019).
  2. Uberoi R., et al. “British Society of Interventional Radiology: Biliary Drainage and Stenting Registry (BDSR)”. CardioVascular and Interventional Radiology1 (2012): 127‑138.
  3. Zhao X qian., et al. “Comparison of percutaneous transhepatic biliary drainage and endoscopic biliary drainage in the management of malignant biliary tract obstruction: a meta-analysis”. Digestive Endoscopy 1 (2015): 137‑145.
  4. Rees J., et al. “The outcomes of biliary drainage by percutaneous transhepatic cholangiography for the palliation of malignant biliary obstruction in England between 2001 and 2014: a retrospective cohort study”. BMJ Open1 (2020): e033576.
  5. Kastelijn JB., et al. “Clinical outcomes of biliary drainage in patients with malignant biliary obstruction caused by colorectal cancer metastases”. Journal of Gastrointestinal Cancer 2 (2023): 564‑573.
  6. Pedersoli F., et al. “Percutaneous transhepatic biliary drainage (PTBD) in patients with dilated vs. nondilated bile ducts: technical considerations and complications”. European Radiology 5 (2021): 3035‑3041.
  7. Al Mahjoub A., et al. “Preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma: is percutaneous transhepatic biliary drainage safer and more effective than endoscopic biliary drainage? a meta-analysis”. Journal of Vascular and Interventional Radiology4 (2017): 576‑582.
  8. Kühn JP., et al. “Percutaneous biliary drainage in patients with nondilated intrahepatic bile ducts compared with patients with dilated intrahepatic bile ducts”. American Journal of Roentgenology 4 (2010): 851‑857.
  9. Kapoor BS., et al. “Management of biliary strictures: State-of-the-art review”. Radiology3 (2018): 590‑603.
  10. Burke DR., et al. “Quality improvement guidelines for percutaneous transhepatic cholangiography and biliary drainage. Society of Cardiovascular and Interventional Radiology”. Journal of Vascular and Interventional Radiology 4 (1997): 677‑681.
  11. Gamanagatti S., et al. “Unilobar versus bilobar biliary drainage: effect on quality of life and bilirubin level reduction”. Indian Journal of Palliative Care 1 (2016): 50‑62.
  12. Almadi MA., et al. “Plastic vs. self-expandable metal stents for palliation in malignant biliary obstruction: a series of meta-analyses”. American Journal of Gastroenterology 2 (2017): 260‑273.
  13. Budošová D., et al. “Current trends of radiation protection equipment in interventional radiology”. Radiation Protection Dosimetry 9‑11 (2022): 554‑559.
  14. Ho CS and Warkentin AE. “Evidence-based decompression in malignant biliary obstruction”. Korean Journal of Radiology 1 (2012): S56-S61.
  15. Das M., et al. “CIRSE standards of practice on percutaneous transhepatic cholangiography, biliary drainage and stenting”. CardioVascular and Interventional Radiology 10 (2021): 1499‑1509.
  16. Maher MM., et al. “Radiation protection in interventional radiology”. CardioVascular and Interventional Radiology 3 (2004): 326-329.
  17. van Delden OM and Laméris JS. “Percutaneous drainage and stenting for palliation of malignant bile duct obstruction”. European Radiology 3 (2008): 448‑456.
  18. Stoker J., et al. “Percutaneous metallic self-expandable endoprostheses in malignant hilar biliary obstruction”. Gastrointestinal Endoscopy 1 (1993): 43‑49.
  19. Molina H., et al. “Complications of percutaneous biliary procedures”. Seminars in Interventional Radiology 3 (2021): 364‑372.

Marrakchi Salma., et al. "Percutaneous Biliary Drainage: Experience of the Mohammed V Military Teaching Hospital in Rabat - A Report of 23 Cases." EC Clinical and Medical Case Reports 7.11 (2024): 01-08.