Short-term complications of percutaneous biliary interventions 
in patients with cholangiocarcinoma in dependence on presence 
of gastroenteroanastomosis

a 2021

Short-term complications of percutaneous biliary interventions in patients with cholangiocarcinoma in dependence on presence of gastroenteroanastomosis

STRAKA, Matej, Tomáš ROHAN, Tomáš ANDRAŠINA, Peter MATKULČÍK, Martin SVOBODA et. al.

Basic information

Original name

Short-term complications of percutaneous biliary interventions in patients with cholangiocarcinoma in dependence on presence of gastroenteroanastomosis

Authors

STRAKA, Matej (703 Slovakia, guarantor, belonging to the institution), Tomáš ROHAN (203 Czech Republic, belonging to the institution), Tomáš ANDRAŠINA (703 Slovakia, belonging to the institution), Peter MATKULČÍK (703 Slovakia, belonging to the institution), Martin SVOBODA (203 Czech Republic, belonging to the institution) and Vladimír PROCHÁZKA (203 Czech Republic, belonging to the institution)

Edition

2021

Other information

Language

English

Type of outcome

Konferenční abstrakt

Field of Study

30224 Radiology, nuclear medicine and medical imaging

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

RIV identification code

RIV/00216224:14110/21:00120219

Organization unit

Faculty of Medicine

Keywords in English

percutaneous transhepatic drainage; biliary tract; benign stenosis; hepaticojejunoanastomosis

Abstract

V originále

Purpose: To analyze short-term complications rate after percutaneous biliary drainage (PTD) in cholangiocarcinoma (CCC) in relation to history of surgically performed gastroenteroanastomosis (GEA) Materials and Methods: 136 patients with CCC with palliative percutaneous interventions (i.e. PTD, brachytherapy, stent implantations) performed between 2005-2019 were enrolled in this single center retrospective study. Study group consists of patients with GEA performed prior to percutaneous biliary intervention (n=8). Control group consists of 128 patients with CCC without history of any prior hepatobilliary surgical procedure. 30 day complication rate (i.e. biliary leakage, bilioma formation, haemobilia, etc.) after percutaneous intervention was assessed. Complications per patient and complication per procedure in both groups were compared (Chi-Square Test). Results: A total of 386 percutaneous transhepatic interventions were performed, 27 in GEA and 359 in control group (average 3.37 vs 2.82 per patient). Metal stent was implanted in 88% of patients with GEA and in 54% of control group (p=0.33), brachytherapy was performed in 38% and 43% of patients (p=0.87). Overall complication rate per procedure and per patient was 11.3% and 22.0%, respectively. Signifcant diference in complication rate per patient was observed (26% vs 10%; p=0.013), on the contrary, complication rate per procedure was not signifcant (38% vs 21%; p=0.28). Conclusion: Patients with CCC treated by paliative transhepatic procedures with history of GEA showed signifcantly higher rate of periprocedural complications

Links

MUNI/A/1342/2020, interní kód MU

Name: Význam radiologických intervencí a pokročilých zobrazovacích metod v diagnostice a léčbě onkologických pacientů II

Investor: Masaryk University

NU21-08-00561, research and development project

Name: Využití ireverzibilní elektroporace a vysokofrekvenční ireverzibilní elektroporace k léčbě okluzí metalických stentů

Investor: Ministry of Health of the CR, Subprogram 1 - standard

Citovat

STRAKA, Matej, Tomáš ROHAN, Tomáš ANDRAŠINA, Peter MATKULČÍK, Martin SVOBODA and Vladimír PROCHÁZKA. Short-term complications of percutaneous biliary interventions in patients with cholangiocarcinoma in dependence on presence of gastroenteroanastomosis. 2021.

@proceedings{1828639,
   author = {Straka, Matej and Rohan, Tomáš and Andrašina, Tomáš and Matkulčík, Peter and Svoboda, Martin and Procházka, Vladimír},
   keywords = {percutaneous transhepatic drainage; biliary tract; benign stenosis; hepaticojejunoanastomosis},
   language = {eng},
   title = {Short-term complications of percutaneous biliary interventions in patients with cholangiocarcinoma in dependence on presence of gastroenteroanastomosis},
   url = {https://link.springer.com/content/pdf/10.1007/s00270-021-02939-6.pdf},
   year = {2021}
}

TY  - CONF
ID  - 1828639
AU  - Straka, Matej - Rohan, Tomáš - Andrašina, Tomáš - Matkulčík, Peter - Svoboda, Martin - Procházka, Vladimír
PY  - 2021
TI  - Short-term complications of percutaneous biliary interventions in patients with cholangiocarcinoma in dependence on presence of gastroenteroanastomosis
KW  - percutaneous transhepatic drainage
KW  - biliary tract
KW  - benign stenosis
KW  - hepaticojejunoanastomosis
UR  - https://link.springer.com/content/pdf/10.1007/s00270-021-02939-6.pdf
N2  - Purpose: To analyze short-term complications rate after percutaneous biliary drainage (PTD) in cholangiocarcinoma (CCC) in relation to history of surgically performed gastroenteroanastomosis (GEA) Materials and Methods: 136 patients with CCC with palliative percutaneous interventions (i.e. PTD, brachytherapy, stent implantations) performed between 2005-2019 were enrolled in this single center retrospective study. Study group consists of patients with GEA performed prior to percutaneous biliary intervention (n=8). Control group consists of 128 patients with CCC without history of any prior hepatobilliary surgical procedure. 30 day complication rate (i.e. biliary leakage, bilioma formation, haemobilia, etc.) after percutaneous intervention was assessed. Complications per patient and complication per procedure in both groups were compared (Chi-Square Test). Results: A total of 386 percutaneous transhepatic interventions were performed, 27 in GEA and 359 in control group (average 3.37 vs 2.82 per patient). Metal stent was implanted in 88% of patients with GEA and in 54% of control group (p=0.33), brachytherapy was performed in 38% and 43% of patients (p=0.87). Overall complication rate per procedure and per patient was 11.3% and 22.0%, respectively. Signifcant diference in complication rate per patient was observed (26% vs 10%; p=0.013), on the contrary, complication rate per procedure was not signifcant (38% vs 21%; p=0.28). Conclusion: Patients with CCC treated by paliative transhepatic procedures with history of GEA showed signifcantly higher rate of periprocedural complications
ER  -

STRAKA, Matej, Tomáš ROHAN, Tomáš ANDRAŠINA, Peter MATKULČÍK, Martin SVOBODA and Vladimír PROCHÁZKA. \textit{Short-term complications of percutaneous biliary interventions in patients with cholangiocarcinoma in dependence on presence of gastroenteroanastomosis}. 2021.

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