BILIARY INTERVENTIONS
CATHETER PLACEMENT IN THE GALLBLADDER LUMEN
(PERCUTANEOUS CHOLECYSTOSTOMY)
Inflammation of the gallbladder is an emergency, especially when the stones in the pouch block the way out and the fluid content of the pouch is condensed.
Surgical removal of the gallbladder of these patients is required.
However, in some patients, surgery is a very high risk, and the patient may develop gallbladder inflammation without stones.
In this case, special tubes are inserted into the gallbladder through a small skin hole without general anesthesia and surgical incision using imaging methods, and the inflamed bile content is removed.
This procedure alleviates the infective state of the gallbladder and gives the patient a much lower risk of surgery.
For the group of patients who cannot undergo surgery, this procedure is life-saving and the tubes are removed after the pouch has subsided.
If the surgical operation is risky in the group of patients with gall stones, the stones can be removed by the tubes placed in the sac and sometimes pushed in can cause the bowel to fall.
TREATMENT OF BILIARY DISEASES
In the liver, there are bile ducts outside the gallbladder, which are merged in the right and left main bile ducts, which then form the main canal and pour the contents of the gallbladder into the small intestine.
Stenosis or tumor-related narrowing or compression at any point in this pathway causes dilation of the biliary tract, elevating liver enzymes and causing the patient to have attacks of bile ducts called cholangitis.
In this case, the catheter inserted through a small hole in the skin can remove the accumulated bile without surgery, or by reaching the small intestine, the normal physiological continuity of the biliary tract is provided by this inserted catheter.
Stenosis of the biliary tract after surgery or organ transplantation can be treated by expanding with a balloon.
In addition, in the blockage of the biliary tracts connected to the tumor, the stent can be restored by providing the lumen opening through the stent.
For many years, radiofrequency and microwave catheters have been used in our department to burn tumors that block flow to the biliary tract.
These technologies, which are new to the whole world, prevent early stent block.