Endoscopic nasobiliary drainage tube‐guided scope insertion technique for internal drainage in a case of difficult selective biliary duct guiding

ObjectivesWe investigated the clinical efficacy of a modified nasobiliary fixation and drainage technique which was designed in an attempt to reduce unplanned extubation and tube blockage and improve bile drainage and the comfort of catheterized patients.MethodsFrom January 2019 to December 2020, 230 patients receiving Endoscopic nasobiliary drainage (ENBD) during hospitalization were recruited to this study. Participants were randomly allocated to 2 groups by using the block randomization method: in the control group: the conventional method of nasobiliary fixation was adopted after surgery; in the test group: intraoperative annular cutting of nasobiliary tubes was performed and the exposed catheter length was standardized. The modified “tube-nose-ear” three-step technique was performed after surgery. The clinical efficacy of a modified nasobiliary fixation and drainage technique was evaluated and compared between the test group and the control group.ResultsThe rate of unplanned extubation and incidence of complications were significantly lower in the test group than the control group. In addition, the rate of bilirubin decrease after drainage was higher in the test group. Patient discomfort during catheterization was also significantly reduced using the modified technique (P < 0.05).ConclusionsThe modified technique of nasobiliary fixation and drainage technique can significantly reduce unplanned extubation and nasobiliary tube blockage after ENBD, facilitate biliary drainage, and improve patient comfort. This technique warrants wider application in clinical practice.

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Randomized Controlled Trial of Modified Nasobiliary Fixation and Drainage Technique

Zhang

Zhu

et al. 2022

Front. Surg.

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Endoscopic nasobiliary drainage tube‐guided scope insertion technique for internal drainage in a case of difficult selective biliary duct guiding

Abstract: https://onlinelibrary.wiley.com/page/journal/14431661/den13266-sup-0001-vids1.htm a video of this article

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Randomized Controlled Trial of Modified Nasobiliary Fixation and Drainage Technique

Randomized Controlled Trial of Modified Nasobiliary Fixation and Drainage Technique

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