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Percutaneous Transhepatic Biliary Drainage (PTBD)

What is it?

Biliary Tract Diseases

Procedure in which the bile duct punctured through skin and liver by a needle under ultrasound guidance. Wire is placed followed by catheter. This procedure is done under local anesthesia or mild sedation.

Biliary externalization: In cases where wire can’t go beyond obstruction or patients with active infection

Biliary internalization: Bile is to be drained within only; no external bag. For malignancy metallic stent is placed.

Biliary Tract Diseases Biliary Tract Diseases

Biliary Tract Diseases

Why (Indications)?

To relieve the jaundice or itching.

Why Not (Contraindication)?

Advanced cirrhosis, coagulopathy, and moderate to massive ascites

What you are to do before procedure (Preparation)?

  1. Book prior appointment
  2. Lab investigation (*PT/INR, CBC, LFTs, Viral markers), Imaging and previous records
  3. 4-6 Hours fasting.
  4. If you are on blood thinner like Aspirin inform during appointment.
  5. One accompanying person
  6. Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1-2 Days.


Fever or pain

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