FINDINGS AND EVALUATIONS OF CHOLANGIOGRAPHY IN PERCUTANEOUS TRANS HEPATIC BILIARY DRAINAGE PATIENTS IN SIRIRAJ HOSPITAL
Abstract
Sixtyseven cholangiographic findings in the films, with clinical histories and investigations of 119 patients in Siriraj Hospital were reviewed by two radiologists. Classifications of causes of obstructive jaundice were devided depending on the anatomical locations and morphologies. Proximal extrahepatic duct obstruction was the most common location (41.8%) and focal stenotic type was mostly founded in the morphologic picture (86.5%). The most founded diagnosis in 119 patients was cholangiocarcinoma (54.6%). There were 61.3% male and 38.7% female patients, with average age of 58.43% years, most of them came with jaundice (99.2%). The total bilirubin was higher than 10 mg./dl. In about 90%, and the CA19- 9 level was higher than 100 U/ml. in about 80%. Comparisons with other previous studies were performed.
Downloads
Metrics
References
Adson MA, Farnell MB. Hepatobiliary cancer: surgical considerations. Mayo clin proc 1981; 56: 686-699.
Akwai OE, van Heerden JA, Adson MA, Foulk WT, Baggenstoss AH. Bile duct carcinoma associated with ulcerative colitis. Rev Surg 1976; 33: 289-293.
Fraymeni JF: Cancers of the pancreas and biliary tract: epidemiological consideration, Cancer Res 1975; 35: 34-37.
Gibby DG, Hanks JB, Wanebo HJ et al: bile duct carcinoma : diagnosis and treatment, Ann Surg 1985; 202: 139-144.
Greenwold ED, Greenwold Es: Cancer epidemiology, In: New York Medical Examination Publishing 193; vol 87.
Iwasaki Y, Ohto M, Todorki T, Okamura T, Nishimura A, Sato H. Treatment of carcinoma of the biliary system. Surg Gynocol obstet 1977; 144: 219-224.
Jones RS, Handks J: Overview of cancer of bile duct. In: Wanebo HJ, ed: Hepatic and biliary cancer, New York, 1987; Marcel Dekker
Longmire WP Jr, McArthur MS, Bastounis EA, Hiatt J. Carcinoma of the extrahepatic biliary tract. Ann Surg 1973; 178: 333-343.
Nichols Douglas A. Cholangiographic evaluation of bile duct carcinoma. AJR December 1983; 141: 1291-1294
Ritchie JK, Allan RN, Macartney J, Thompson H, Hawley Pr, Cooke WT. Biliary tract carcinoma associated with ulcerative colitis. OJ Med 1974; 43: 263-279.
Terblanch J. Carcinoma of the proximal extrahepatic billary tree: definitive and palliative treatment. Surg Annu 1979; 11: 294-265.
Vaeusorn N. New Self Reatining Loop Catheter for Filiary drainage. Thai Journal of Radiology 1981: 18:11
Vaeusom N., Interventional Radiology (Siriraj Textbook Project 1987) Number 143 (6-1987) P 122
Watcharasin, R., Pekanand, P, Suchato C., etal: Technique and indication for percutaneous transhepatic biliary drainage. Thai Journal of Radiol 1979; 16: 27
Weisner RH, LaRusso NF. Clinicopathologic features of the syndrome of primary sclerosing cholangitis. Gastroenterology 1980; 79: 200- 260.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The ASEAN Journal of Radiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)
