Stanley J, Gobien R P, Cunningham J, Andriole J
Radiology. 1986 Jan;158(1):195-7. doi: 10.1148/radiology.158.1.2416006.
Endoscopically performed biliary drainage (EPBD) is now an alternative to percutaneous biliary drainage. The morbidity, mortality, and survival statistics of 97 patients with obstructive jaundice who had undergone percutaneous transhepatic biliary drainage (PTBD) and surgery, PTBD alone, EPBD and surgery, or EPBD alone were compared. Overall, the EPBD group had fewer complications and lower mortality than the other groups. When palliative treatment of patients with malignancies was compared, the complication rates associated with EPBD and PTBD were similar; however, mortality was lower with EPBD. No negative effect on survival was found with EPBD. In addition, EPBD offered several additional advantages over PTBD, including fewer bleeding complications, better patient acceptance, and avoidance of external catheter care. EPBD should be considered as a viable alternative to PTBD. Additional studies are needed to determine whether it is to be considered the initial drainage procedure of choice in patients with obstructive jaundice.
内镜下胆道引流（EPBD）现已成为经皮胆道引流的替代方法。比较了97例接受经皮肝穿刺胆道引流（PTBD）及手术、单纯PTBD、EPBD及手术或单纯EPBD的梗阻性黄疸患者的发病率、死亡率和生存统计数据。总体而言，EPBD组的并发症少于其他组，死亡率也更低。在对恶性肿瘤患者进行姑息治疗时，EPBD和PTBD的并发症发生率相似；然而，EPBD的死亡率更低。未发现EPBD对生存有负面影响。此外，与PTBD相比，EPBD还有其他几个优点，包括出血并发症更少、患者接受度更高以及无需进行外部导管护理。EPBD应被视为PTBD的可行替代方法。需要进一步研究以确定它是否应被视为梗阻性黄疸患者的首选初始引流程序。
