الفهرس 
Biilliiary Anatomy and Variiants
Computed Tomography:Only 14 pages are availabe for public view
 |  | from | 158 |  |  |
| | | from | 158 | | |
Abstract
SUMMARY AND CONCLUSION
Malignant biliary obstruction has a grave prognosis and severe
adverse effect on the quality of life, with most of those patients are
inoperable at time of diagnosis.
So, palliative biliary drainage became the main line of treatment of
those patients. Interventional radiology provides many minimally invasive
procedures to alleviate symptoms of biliary obstruction.
Demonstration of the role of interventional radiology in treatment of
malignant obstructive jaundice was the aim of our study.
In this study, 30 patients with malignant biliary obstruction, 28 of
them was non surgically curable and the other two patients were fit for
operation with post-operative biliary complications were subjected to many
interventional techniques to drain the obstructed bile, 10 of our patients
underwent percutenous external drainage, 3 patients underwent internalexternal
drainage and 2 patients with help of a guide wire passed
percutaneously (associated with endoscope session) through the dilated
intrahepatic biliary radicals then passed through the ampulla of the duodenum
(Randez. Vous technique). Eight patients underwent metallic stent insertion
and 7 with plastic stent insertion.
In the patients who were fit for operation (whipple) with postoperative
choledecho-jujenostomy biliary stricture, metallic stenting showed
high success rate in reduction of bilirubin level and its related complications.
Significant bilirubin reduction was achieved in 13 from the 15
percutenously stented patients (86.6%), in 10 from the 13 percutaneously
drained patients ( including external only and internal external route) (76.9%)