Keywords:
Interventional non-vascular, Biliary Tract / Gallbladder, Fluoroscopy, Drainage, Cholangiography, Multidisciplinary cancer care
Authors:
D. G. Castiglione1, C. Gozzo1, L. Mammino2, F. Midiri1, G. Caltabiano3, S. Palmucci2, A. Basile2; 1Palermo/IT, 2Catania/IT, 3CATANIA (CT)/IT
DOI:
10.26044/ecr2019/C-0132
Results
Patients characteristics: 63 patients were considered eligible to participate in the study and underwent PTBD via left or right access randomly selected.
Some patients (n=3) didn’t complete the questionnaire properly and for this reason,
were excluded.
Final participants patients were 60 (n=30,
subgroup A - PTBD right approach; n=30,
subgroup B – PTBD left approach) (Fig 2).
The study population includes 34 men and 26 female.
There was no significant difference in gender and age between the two subgroups (Tab 3).
The aetiology of malignant biliary obstruction was: pancreatic carcinoma (n= 23),
cholangiocarcinoma (n=18),
periampullary carcinoma (n=10),
gallbladder carcinoma (n=6),
metastatic adenopathy from unknown primary tumours (n=3) (Tab 3).
Quality of life: during the follow-up,
we observed no significant statistical difference (p> 0.05) in terms of Jaundice (Fig 3),
side effect to treatment,
and weight loss.
The Eating scale was considered not evaluable because some patients were on parenteral or enteral nutrition or experienced some day of fasting after the procedure.
Patients of subgroup A showed more difficulties in terms of management with biliary drainage (tubes and bags) with a significant statistical difference (p< 0.05) compared to subgroup B.
Referring to tiredness and anxiety,
patients of subgroup A showed more elevated level than patients of subgroup B (highly significant difference (p< 0.01).
About pain,
it was higher in subgroup A compared to subgroup B with an extremely significant difference (p< 0.001) (Fig 4).
Finally,
the Pain Questionnaire administered at day First and Seventh (Tab 4) allowed to typify the pain which was shown to be intercostal and higher while breathing in subgroup A with a highly significant difference (p<0.001) compared to subgroup B.
There was no significant difference (p > 0.05) in terms of abdominal pain.
The evaluation of the mean values of the items during the week confirmed the evaluation made day by day.
The complication rate was similar in both groups.