Endoscopic ultrasound-guided biliary drainage vs percutaneous transhepatic bile duct drainage in the management of malignant obstructive jaundice

doi:10.4240/wjgs.v16.i6.1592

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Jun 27, 2024 (publication date) through Jul 18, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Jun 27, 2024; 16(6): 1592-1600
Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1592

Table 2 Comparison of preoperative and postoperative serum indices between the two subgroups, mean ± SD

Index	Time	EUS-BD (n = 33)	PTBD (n = 35)	t	P value
TP (g/L)	Before surgery	61.85 ± 7.14	59.25 ± 7.12	-1.498	0.139
	7 d after surgery	41.75 ± 5.80^a^,^b	55.13±6.82^a	8.687	< 0.001
ALB (g/L)	Before surgery	44.04 ± 6.98	40.97 ± 6.70	-1.846	0.069
	7 d after surgery	31.20 ± 4.45^a^,^b	39.55 ± 6.07^a	6.439	< 0.001
ALP (U/L)	Before surgery	529.68 ± 182.52	505.45 ± 176.87	-0.559	0.578
	7 d after surgery	285.39 ± 97.22^a^,^b	360.65 ± 150.02^a	2.439	0.017
ALT (U/L)	Before surgery	148.76 ± 52.55	146.58 ± 53.35	-0.169	0.866
	7 d after surgery	51.33 ± 6.61^a^,^b	73.58 ± 7.03^a	13.424	< 0.001
AST (U/L)	Before surgery	121.29 ± 37.58	107.62 ± 28.98	-1.685	0.097
	7 d after surgery	42.02 ± 13.95^a^,^b	75.03 ± 16.25^a	8.969	< 0.001
GGT (U/L)	Before surgery	612.05 ± 179.24	575.13 ± 174.30	-0.861	0.391
	7 d after surgery	213.67 ± 61.37^a^,^b	299.65 ± 65.12^a	5.595	< 0.001
TBIL (mmol/L)	Before surgery	228.02 ± 66.39	205.23 ± 76.28	-1.311	0.194
	7 d after surgery	107.93 ± 52.43^a^,^b	144.79 ± 59.10^a	2.714	0.008
DBIL (mmol/L)	Before surgery	204.18 ± 52.86	192.13 ± 49.66	-0.969	0.336
	7 d after surgery	70.19 ± 17.16^a^,^b	84.48 ± 19.41^a	3.208	0.002
TBA (mmol/L)	Before surgery	228.62 ± 55.45	208.90 ± 63.35	-1.362	0.178
	7 d after surgery	66.31 ± 18.61^a^,^b	90.55 ± 20.11^a	5.152	< 0.001
hs-CRP (mg/L)	Before surgery	13.22 ± 3.29	11.60 ± 3.90	-1.843	0.070
	7 d after surgery	4.58 ± 1.33^a^,^b	7.66 ± 2.36^a	6.576	< 0.001

^aP < 0.05, compared to the preoperative subgroup.

^bP < 0.05 compared to the percutaneous transhepatic puncture biliary drainage subgroup.

TP: Total protein; ALB: Albumin; ALP: Serum alkaline phosphatase; ALT: Alanine aminotransferase; AST: Aspartate transaminase; GGT: Gamma-glutamyl transferase; TBIL: Total bilirubin; DBIL: Direct bilirubin; TBA: Total bile acid; hs-CRP: Hypersensitive C-reactive protein; EUS-BD: Endoscopic ultrasound-guided biliary drainage; PTBD: Percutaneous transhepatic puncture biliary drainage.

Citation: Zhu QQ, Chen BF, Yang Y, Zuo XY, Liu WH, Wang TT, Zhang Y. Endoscopic ultrasound-guided biliary drainage vs percutaneous transhepatic bile duct drainage in the management of malignant obstructive jaundice. World J Gastrointest Surg 2024; 16(6): 1592-1600
URL: https://www.wjgnet.com/1948-9366/full/v16/i6/1592.htm
DOI: https://dx.doi.org/10.4240/wjgs.v16.i6.1592