| Category | Percutaneous Transhepatic Biliary Drainage (PTBD) |
Blockage of the bile ducts can lead to severe infection, jaundice, and liver damage if not treated promptly. Percutaneous Transhepatic Biliary Drainage (PTBD) is a minimally invasive procedure used to relieve biliary obstruction. Dr. Raghav Seth specializes in performing PTBD with precision to restore bile flow and improve liver function.
The bile ducts carry bile from the liver to the intestine to aid digestion. When these ducts become blocked due to tumors, gallstones, or strictures, bile accumulates in the liver, causing jaundice and infection.
Symptoms may include:
Yellowing of skin and eyes
Dark urine
Abdominal pain
Fever
Itching
Biliary obstruction may occur due to bile duct stones, pancreatic cancer, bile duct tumors, post-surgical strictures, or inflammatory conditions.
While not all causes are preventable, early evaluation of jaundice, timely management of gallstones, and regular monitoring in cancer patients can reduce complications.
During PTBD, a needle is inserted through the skin into the liver under imaging guidance. A catheter is placed into the bile duct to drain accumulated bile externally or internally. The procedure helps relieve symptoms, reduce infection risk, and improve liver function. It is performed under local anesthesia and requires careful post-procedure monitoring.
Is PTBD painful?
It is performed under anesthesia and causes minimal discomfort.
How long does the drain remain in place?
Duration depends on the underlying cause.
Is it a permanent solution?
It may be temporary or followed by definitive treatment.
Are there risks involved?
Minor risks include infection or bleeding, which are carefully managed.
How soon does jaundice improve?
Improvement is usually seen within days after drainage.
