BILIARY DRAINAGE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY VERSUS PERCUTANEOUS TRANSHEPATICDRAINAGE INRESECTABLE PANCREATIC TUMORS WITH HYPERBILIRUBINEMIA: A PROSPECTIVE STUDY.
Sorour, M., Ghazal, A., ElHadad, H., Abd El-Moneam, M. (2023). BILIARY DRAINAGE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY VERSUS PERCUTANEOUS TRANSHEPATICDRAINAGE INRESECTABLE PANCREATIC TUMORS WITH HYPERBILIRUBINEMIA: A PROSPECTIVE STUDY.. EKB Journal Management System, 5(1), 8-9. doi: 10.21608/alexpo.2023.187356.1546
Magdy Akel Sorour; Abdel-Hamid Ahmed Ghazal; Hani Mostafa ElHadad; Mohamed Al-Sayed Abd El-Moneam. "BILIARY DRAINAGE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY VERSUS PERCUTANEOUS TRANSHEPATICDRAINAGE INRESECTABLE PANCREATIC TUMORS WITH HYPERBILIRUBINEMIA: A PROSPECTIVE STUDY.". EKB Journal Management System, 5, 1, 2023, 8-9. doi: 10.21608/alexpo.2023.187356.1546
Sorour, M., Ghazal, A., ElHadad, H., Abd El-Moneam, M. (2023). 'BILIARY DRAINAGE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY VERSUS PERCUTANEOUS TRANSHEPATICDRAINAGE INRESECTABLE PANCREATIC TUMORS WITH HYPERBILIRUBINEMIA: A PROSPECTIVE STUDY.', EKB Journal Management System, 5(1), pp. 8-9. doi: 10.21608/alexpo.2023.187356.1546
Sorour, M., Ghazal, A., ElHadad, H., Abd El-Moneam, M. BILIARY DRAINAGE BY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY VERSUS PERCUTANEOUS TRANSHEPATICDRAINAGE INRESECTABLE PANCREATIC TUMORS WITH HYPERBILIRUBINEMIA: A PROSPECTIVE STUDY.. EKB Journal Management System, 2023; 5(1): 8-9. doi: 10.21608/alexpo.2023.187356.1546

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

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Article 3, Volume 5, Issue 1, January 2023, Page 8-9  XML
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2023.187356.1546
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Authors
Magdy Akel Sorour1; Abdel-Hamid Ahmed Ghazal2; Hani Mostafa ElHadad3; Mohamed Al-Sayed Abd El-Moneam email 2
1Department of Surgery, Faculty of Medicine, Alexandria University
2Gastrointestinal (GIT) Surgical Unit, Department of Surgery, Faculty of Medicine, University of Alexandria
3General 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.
Keywords
Hyperbilirubinemia; pancreatic head tumors; preoperative biliary drainage
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