The goal of the study is to compare the efficacy and safety of bile duct drains guided by endoscopic ultrasound-guided biliary drainage (EGBD) versus percutaneous transhepatic biliary drainage (PTBD).
Retrospective comparative study. Patients with obstruction of the bile duct who underwent the EGBD or PTBD procedure and had at least 1 previous endoscopic retrograde cholangiopancreatography that failed or was inaccessible to the second duodenal portion were included.
A total of 90 patients were initially evaluated and 28 were excluded. There were 39 (62.9%) women, with a median age of 55.6 years (range, 22 to 88 y). The etiology of biliary obstruction was malignancy in 35 (56.4%) patients. Differences between EGBD versus PTBD groups were in technical success (90% vs. 78%; P=0.3), clinical success (96% vs. 63%; P=0.04), complications (6.6% vs. 28%; P=0.04), length of stay [6.5 d (range, 0 to 11 d) vs. 12.5 d (range, 6.2 to 25 d)] (P=0.009), and costs 1440.15±240.94 versus 2165.87±241.10 USD (P=0.03).
EGBD is associated with a higher clinical success rate and safety, shorter hospital stays, and lower cost compared with PTBD.
Departments of *Gastrointestinal Endoscopy
†Imageology, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico
The authors declare no conflicts of interest.
Reprints: Félix I. Téllez-Ávila, MD, MSc, PhD, Department of Gastrointestinal Endoscopy, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Vasco de Quiroga #15, Tlalpan, CP 14000 Mexico City, Mexico (e-mail: email@example.com).
Received November 23, 2017
Accepted February 21, 2018