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Percutaneous Transhepatic Biliary Drainage
WHAT YOU NEED TO KNOW:
Percutaneous transhepatic biliary drainage (PTBD) is done to open a blocked bile duct.
WHILE YOU ARE HERE:
Before your procedure:
- Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
- An IV is a small tube placed in your vein that is used to give you medicine or liquids.
- Antibiotics may be given to help prevent a bacterial infection.
- Anesthesia is medicine to make you comfortable during your procedure. Healthcare providers will work with you to decide which anesthesia is best for you.
- Local anesthesia is a shot of medicine put into your abdomen. It is used to numb the area and dull the pain. You may still feel pressure or pushing during your procedure.
- Spinal or epidural anesthesia numbs the area and dulls the pain. You may still feel pressure or pushing during your procedure.
- General anesthesia will keep you asleep and free from pain during your procedure. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
- Endoscopic retrograde cholangiopancreatography (ERCP) may be done before your PTBD procedure to remove stones in your gallbladder or bile duct.
During your procedure:
A CT scan or fluoroscopy may be used during the procedure. Your healthcare provider will put a needle through the right side of your abdomen and into your liver. A wire will be pushed through the needle and into your liver. Your healthcare provider will use the wire to break up the stones that block your bile duct. Your healthcare provider will put a tube over the needle and then remove the needle and wire. The tube will be left in place. A small part of the tube will come through your skin to the outside of your body. If the tube is capped, bile will drain into your intestines. If the tube is left open, bile will drain into a bag that is attached to the end of the tube outside of your body.
After your procedure:
You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.
Your gallbladder, bile duct, or blood vessels may be damaged. You may bleed more than expected. After the procedure, you may have swelling or bleeding around the tube. The skin around the tube may get infected. The tube may move out of place or get blocked. Your gallbladder may become swollen or infected. You could get a blood clot in your liver. You could get a lung infection. Your lungs could fill with blood or air, making it hard for you to breathe.
CARE AGREEMENT:You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.