Interventional Therapy for Malignant Obstructive Jaundice in Elderly Patients

Objective To study the clinical value of endoscopic retrograde cholangiopancreatography (ERCP) or percuta- neous transhepatic biliary drainage (PTBD) for elderly patients with malignant obstructive jaundice.Methods 83 patients with malignant obstructive laundice were palliated by means of drainage with ERCP and PTBD.Eighteen had cholangiocarcino- ma,48 pancrentic carcinoma,7 primary hepatocellular carcinoma,10 metastatic caicinoma from carcinoma of stomach.The had US.CT.and (or) MRCP and routine serum laboratory data.43 had ERCP.40 had PTBD including external drainage and internal- external drainage.All patients were followed for a month with clinical evaluation and laboratory examination. Results 43 patients received ERCP,stent placement was conducted in 28 patieuts.10 patients received plastic catheters.PT- BD were successfully performed in all the patients.21 had PTBD including external drainage and internal-external drainage. The other 19 patients received stents.The levels of serum total bilirubin(TB) decreased significantly after the procedure.. Conclusion ERCP or PTBD is safe,effective for malignant biliary obstruction.