What Are The Adaptive Signs Of PTCD?

Palliative care for malignant biliary neoplasms

Obstructive jaundice can be caused by pancreatic head cancer, ampullary cancer, and biliary malignancy. Most of these patients are elderly, or accompanied by basic diseases of the heart, brain and lung, and most of them are in the late stage when they are found. They cannot tolerate surgery or have no opportunity for surgery.

Biliary obstruction will cause biliary pressure increase, resulting in skin and sclera yellow staining; It can also cause swelling of hepatocytes, resulting in impaired hepatocyte function and even multiple organ dysfunction. At this time, bile drainage can reduce biliary pressure, improve liver function, relieve the pain of patients, improve the quality of life of patients.

Two, acute suppurative cholangitis biliary decompression

Acute suppurative cholangitis (AOSC) is a serious threat to the lives of patients. The most common cause of AOSC is bile duct stones, followed by tumors. Once the diagnosis is made, in principle, the biliary obstruction should be relieved urgently and the pressure in the bile duct should be reduced.

PTCD, EBD or surgical treatment can relieve biliary obstruction, achieve biliary decompression and achieve the purpose of treatment. Among them, PTCD can make many high-risk, elderly patients who cannot tolerate surgery go through the dangerous period, create conditions for elective surgery, and thus greatly reduce the mortality of elective surgery. Because of its advantages such as relatively simple operation, less damage, and positive effect, PTCD is worthy of promotion in the treatment of AOSC.

3. Preoperative preparation for biliary tract diseases

Patients with biliary stones or tumors may have poor liver function, jaundice, low plasma protein, poor coagulation and immune function, and even cholangitis and pancreatitis due to cholestasis, which may delay the operation time and affect the outcome of surgery. PTCD and other preoperative bile drainage methods can relieve cholestasis, improve liver function, regulate coagulation and immune function, and reduce preoperative preparation time.

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