Percutaneous biliary drainage for obstructive jaundice in patients with inoperable, malignant biliary obstruction

Perceptions of transitional care services among patients with percutaneous transhepatic biliary drainage and multicentre health professionals: A qualitative study

“…3 Most patients with malignant obstructive jaundice are in the middle and late stages of the illness when they are diagnosed, making it difficult to carry out surgical treatment, so palliative treatment is the only choice at that time. 4 Percutaneous transhepatic biliary drainage (PTBD) has been widely used in the clinical treatment of obstructive jaundice due to its advantages of simplistic operation, a high success rate and the rapid relief of symptoms. 5,6 Patients are generally discharged with tubes after their condition stabilizes to reduce costs and improve hospital efficiency.…”

“…Patients with benign obstruction should have their tubes indwelled for at least 12 days 8 . Patients with malignant obstructive jaundice need to wear the tube until the end of their lives 4 . Some studies have found that PTBD patients with catheters are prone to complications such as catheter displacement, bleeding and bile leakage after surgery, and the rate of unplanned readmission within 30 days due to drainage tube dysfunction is as high as 63.9% 9,10 .…”

“…For example, in 2020 alone, there were nearly 1.51 million new cases of pancreatic, liver and gallbladder cancer worldwide, reflecting an increasing prevalence of obstructive jaundice 3 . Most patients with malignant obstructive jaundice are in the middle and late stages of the illness when they are diagnosed, making it difficult to carry out surgical treatment, so palliative treatment is the only choice at that time 4 …”

“… 3 Most patients with malignant obstructive jaundice are in the middle and late stages of the illness when they are diagnosed, making it difficult to carry out surgical treatment, so palliative treatment is the only choice at that time. 4 …”

“… 8 Patients with malignant obstructive jaundice need to wear the tube until the end of their lives. 4 Some studies have found that PTBD patients with catheters are prone to complications such as catheter displacement, bleeding and bile leakage after surgery, and the rate of unplanned readmission within 30 days due to drainage tube dysfunction is as high as 63.9%. 9 , 10 Therefore, nursing continuity should be strengthened to improve the quality of life of PTBD patients after discharge.…”