BILIARY DRAINAGE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY VERSUS PERCUTANEOUS TRANSHEPATICDRAINAGE INRESECTABLE PANCREATIC TUMORS WITH HYPERBILIRUBINEMIA: A PROSPECTIVE STUDY.

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Surgery, Faculty of Medicine, Alexandria University

2 Gastrointestinal (GIT) Surgical Unit, Department of Surgery, Faculty of Medicine, University of Alexandria

3 General Surgery Department - Gastrointestinal Unit, Faculty of Medicine, University of Alexandria

Abstract

Hyperbilirubinemia is the main presenting symptom of pancreatic head and periampullary tumors and it has a devastating effect on the patient. the role of preoperative biliary drainage as a step before surgery in case of resectable tumors is a debatable subject due to the add burden of the periporcedural complications on the patient. Currently, Percutaneous transhepatic drainage is considered an alternative to Endoscopic drainage using ERCP due to a false belief that ERCP is superior to PTD.
Aim of the work:
The aim of this randomized comparative study was to assess the difference between Percutaneous transhepatic drainage and endoscopic drainage in regarded to periporcedural complications, on the operation itself, and on the post operative complications and hospital stay.
Patients and Methods:
In the period from January 2019 to December 2021, 84 patients with resectable pancreatic head and periampullary tumors were admitted to the GIT Surgical Unit in AUMH. A total of 24 patients were excluded, 12 refused to consent for preoperative drainage, and 12 were excluded for having either poor liver function or sever systemic diseases.

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