Percutaneous Transhepatic Biliary Drainage (PTBD)

The liver makes bile which helps in digestion of the fats. The bile passes through a series of small tubes called ducts that drain into a large duct, called the common bile duct. The common bile duct empties into the first part of the small bowel called duodenum. The bile produced in the liver is also stored in the gallbladder. If the bile duct gets blocked, the bile cannot drain normally and gets collected before the site of the blockage. The signs of blocked bile ducts are jaundice, dark urine, chalk colored stools, itching, nausea, and loss of appetite. This condition is potentially serious and needs to be treated.

Obstruction in common bile duct can be an indication of many problems which may include benign growth or cancers like cancer of bile duct, cancer of gall bladder etc. Many a times these tumours or obstructions cannot be approached through surgery as they have either grown in size or are already in advanced stage. Percutaneous Transhepatic Biliary Drainage is an alternative procedure for patients where the procedures like ERCP is not effective. If liver is more than 50% obstruction then it becomes necessary to perform the PTBD surgery else the patient could go into liver failure.

The PTBD
Process

PTBD is an image-guided procedure which can be performed under fluoroscopy or combined ultrasound and fluoroscopic guidance. Its indications are varied including both obstructive as well as nonobstructive etiologies. The obstruction in the biliary area could be either high or low. Low bile duct obstruction occurs when the obstruction is below the insertion of the cystic duct.Whereas the high bile duct obstruction occurs when the obstruction occurs at or above the common hepatic duct.

The procedure can be performed in following cases:

Cholangitis

To regulate bilrubin in case of cancer patients

To access biliary system for further palliative interventions such as stent placement

PTBD in India is mostly preferred and gives best results in case of high bile duct obstruction.

 

 

Treatment, Usefulness and
Cost Of PTBD in India

In percutaneous transhepatic biliary drainage (PTBD) a small, flexible, plastic tube is placed through the skin into the liver to drain a blocked bile duct system. Ultrasound and x-ray of the abdomen locate the blockage of bile flow. Based on the ultrasound images a small plastic or metal tube (stent) in the liver to drain bile is placed. The bile drains through the stent into the small bowel or in a collection bag outside the body. This procedure may relieve the obstruction symptoms before surgery is done.

As such it is very successfully done in India for patients with gall stones,pancreatitis, cholangitis, perforation, cholangitis, and CBD perforation. However it is avoided in patients with:

Ascites

Multiple liver obstruction

Bleeding disorders

Cost of PTBD in Delhi/NCR in India is approximately USD 1200 for single system drainage without stent. For multiple systems and stent, cost may go up accordingly. Apart from the treatment the other costs like travelling, hotels and food are all cheaper in India. The boarding and lodging cost for the patient and one attendant in a decent airconditioned guest house would be around USD 40-60 per day. For query please whatsapp at +91-9958222443 or email to indianhealthconsultants@gmail.com

Our Cancer Hospitals

Cancer treatment requires high quality equipments and care. Hence in India cancer hospitals are majorly tertiary care setups. Some of the best cancer hospitals in India with best in class facilities are located in Delhi/NCR and Mumbai. In Delhi/NCR we have hospitals like Fortis Memorial Research Institute, Gurgaon, India whcih is considered as one of the most advanced hospitals for cancer treatment. Apart from Fortis we have Paras Hospital Gurgaon, India which is a great setup for cancer surgeries. Similarly in Munbai we have Nanavati hospital which offers great cancer treatment facilities all the way from cancer surgery, chemotherapy, liver transplant, bone marrow transplant and even heart and lung transplants.

Technology at our Disposal

Our Hospitals have the latest MRI, CT Scan, Digital X-Ray, Mammography, Ultrasound, Colour Doppler, PET CT Scan, Gamma Camera (Nuclear Medicine Scans), Image Guided Radiation Therapy, Gamma Knife, Cyber Knife, Thoracosopy, Sleep Study, Lung Ultrasound Bronchoscopy EBUS etc which gives us the diagnostic and theraputic confidence for providing the right treatment.

Modular fully equipped Operation Theatres with hepa-filters for zero infection rate and C-Arm backed by a state of art ICU helps us in providing world class treatment to our patients. Similarly in cases of transplant our well equipped isolation rooms ensure a zero infection rate which is very important for transplant patients as they have compromised immunity after the surgery.

Our Cancer Doctors

Our team of doctors include some of the best names from the Indian Medical Fraternity. Dr Ankur Garg - Liver Transplant, Hepato Biliary and Pancreatic Cancer Surgeon, Dr Kaushal Yadav, Dr Abhishek Mitra, Dr Niranjan Naik, Dr Rama Joshi, Dr Sumita Singh, Dr Priyanjana Sharma, Dr Shilpi Sharma Dr Rajiv Yadav, Dr Vikram Singh- All Cancer Surgeons, Dr Pradeep Bansal and Dr Dipanshu Gupta - Urologist and Kidney Transplant Surgeons, Dr Rahul Bhargava and Dr Dharma Choudhary - Bone Marrow Transplant Specialists, Dr Vinod Raina, Dr Suresh Advani - Medical Oncologists, Dr Sandeep Attawar and Dr Hemant Pathare - Heart & Lung Transplant Surgeons, Dr J S Virk- Orthopaedic Cancer Surgeon, Dr Amal Roay Chaudhoory and Dr Subodh Pande Radiation Oncologists.

 

Artemis Hospital

Metro Hospital, Faridabad

Fortis Hospital, Gurgaon

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