Abstract:Objective:To evaluate the efficacy of endoscopic retrograde biliary drainage (ERBD) in management of malignant obstructive jaundice.
Methods: The outcomes of 76 patients with malignant obstructive jaundice undergoing ERBD (n=46) or percutaneous transhepatic cholangial drainage (PTCD, n=30) were compared and analyzed.
Results:No differences were noted between the two procedures in the operation success rate and degree of postoperative jaundice decline (P>0.05). However, the incidence of complications and length of hospital stay of ERBD group were significantly lower than those of PTCD group (both P<0.05).
Conclusions:Either ERBD or PTCD is an effective approach to treat malignant obstructive jaundice. However, ERBD has the advantages of relatively lower complication rate and shorter hospital stay.