Question 1

is the percutaneous transhepatic cholangiography a risky thing to do?

Accepted Answer

No, but...: There are less invasive ways to image the biliary tree, like ultrasound, ERCP (by a gastroenterologist) and mrcp (mri). If there is some blockage, drainage can usually be achieved by a gastroenterologist, with percutaneous drainage reserved for cases that cannot be treated by a gastroenterologist. While percutaneous biliary imaging and interventions do not have high risk, less risky options exist.

Question 2

what does a percutaneous cholangiogram feel like?

Accepted Answer

Not much really: You should be somewhat sedated for the procedure and if not then (of course) there is going to be local anesthetic administered.  You should feel very little discomfort.

Question 3

are there any risks of percutaneous cholangiography?

Accepted Answer

Several: Bile may leak out of the bile ducts, infection an bleeding are the most common.

Question 4

whats percutaneous cholecystectomy? whats transhepatic biliary catheter? whats biliary stent? are they effective alternatives to a cholecystectomy?

Accepted Answer

Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck.

Question 5

what problem does a t-tube cholangiogram diagnose?

Accepted Answer

Retained Stones: In the era prior to ercps, stones that left the gallbladder and entered into the common bile duct (cbd) had to be surgically removed by opening the cbd. At the end of the cbd exploration, a t-shaped tube is placed into the bile duct to prevent bile leakage from the duct and to allow a portal of entry into the cbd to retrieve any cbd stones left behind.  The t-tube 'gram searches for these stones.

Question 6

ercp report: occlusion cholangiogram - clear cbd. does it mean there is no narrowing and stricture in the cbd?

Accepted Answer

: Would suggest just that ...

Question 7

in ercp report it says: occlusion cholangiogram - clear cbd. although i do realise the word "clear" is self explanatory but just want to know clear of what exactly?

Accepted Answer

: Clear of obstruction common bile duct.always confirm at follow up with same doc or primary care doc.

Question 8

when t tube cholangiogram usually performed, i mean at which day postoperatively ?

Accepted Answer

Any day: but usually before your discharge from hospital , when you are fully ambulatory and eating , for a routine  post O P .\   T tube cholangiogram.

Question 9

in a case where the gallstone in cbd is removed completely and occlusion cholangiogram has confirmed the cbd is clear, will a cbd stent be necessary?

Accepted Answer

: Good question.  I would say that in most cases a CBD stent would not be needed if the stone was successfully removed.  The determination of whether the stent will be temporarily placed will still be up to the doctor performing the procedure.  I do not want to second guess that physician, since there can always be more specific circumstances between patients that could merit stent placement.

Question 10

ercp report: cbd stone extracted, cbd cleared. occlusion cholangiogram - clear cbd. my question is, in a cbd that is already unblocked and clear with the stone fully removed, will a cbd stent be required?

Accepted Answer

: Normally gall bladder common bile duct remains open by itself and does not require stent unless something needs drainage like pus or blood. Also your doctor is the best person to decide. It looks like you are fine since gall stones are not there. Hope it helps.

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Doctor answers about:

Percutaneous transhepatic cholangiogram

A member asked:

Is the percutaneous transhepatic cholangiography a risky thing to do?

A member asked:

What does a percutaneous cholangiogram feel like?

A member asked:

Are there any risks of percutaneous cholangiography?

A member asked:

Whats percutaneous cholecystectomy? whats transhepatic biliary catheter? whats biliary stent? are they effective alternatives to a cholecystectomy?

A member asked:

What problem does a t-tube cholangiogram diagnose?

A member asked:

Ercp report: occlusion cholangiogram - clear cbd. does it mean there is no narrowing and stricture in the cbd?

A member asked:

In ercp report it says: occlusion cholangiogram - clear cbd. although i do realise the word "clear" is self explanatory but just want to know clear of what exactly?

A member asked:

When t tube cholangiogram usually performed, i mean at which day postoperatively ?

A member asked:

In a case where the gallstone in cbd is removed completely and occlusion cholangiogram has confirmed the cbd is clear, will a cbd stent be necessary?

A member asked:

Ercp report: cbd stone extracted, cbd cleared. occlusion cholangiogram - clear cbd. my question is, in a cbd that is already unblocked and clear with the stone fully removed, will a cbd stent be required?

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