1987 Volume 29 Issue 2 Pages 341-346
ENBD was carried out using particular instruments of 7.2 Fr pig tail tube and a guide wire in 7 cases with malignant obstructive jaundice. Then, this tube was able to be inserted beyond the obstruction of bile duct in 5 cases. The mean value of total serum bilirubin before ENBD was very high in our successful cases. After ENBD, bilirubin level had been decreased efficiently comparing with cases treated by PTCD. Regarding to complication of this technique, mild pancretitis occurred in only one case, but this complication might be attributed to EPT rather than ENBD. Moreover, there were no cases whose tube clogged or deviated during clinical course. ENBD using 7.2 Fr pig tail tube is an effective and safe method for reduction of severe obstructive janudice which had not been reduced by previous technique using 5 Fr tube
