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PERCUTANEOUS TRANS HEPATIC BILIARY DRAINAGE (PTBD)

      This is a procedure done to decompress the biliary system where ERCP is not possible like history of Previous Gastric surgery or End-to- side Hepaticojejunostomy with Bile duct obstruction due to stones or stricture. This procedure decompresses the biliary system and so decrease the sepsis. Percutaneous trans hepatic biliary drainage is done by placing a catheter into the biliary system from skin through the liver.  Once patient recovered from the sepsis the definitive procedure will be done.      

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