The risk of bleeding complications on percutaneous biliary drainage in patients with abnormal hemostasis

Abstract

Aim: To determine whether the risk of bleeding complications in percutaneous biliary drainage is higher in adults whose hemostasis cannot be corrected before the procedure than in those whose hemostasis is corrected. Material and Method: 62 patients who underwent percutaneous biliary drainage were included in the study. Patients with abnormal hemostasis were divided into those with corrected hemostasis (group I) and uncorrected hemostasis (group II). The groups were evaluated for the presence of bleeding complications by ultrasonography, computed tomography and laboratory findings. The groups were compared in terms of age, gender, side, drainage type, and bleeding complications. Results: Of the 62 patients included in the study, 52% (n:32) were female and 48% (n:30) were male, with a mean age of 67.6±9.6 (48-90). Age and female sex ratio were higher in Group II, which was statistically significant (p<0.001, p:0.014). There was no statistically significant difference between the groups in terms of side. Internal drainage was applied to patients in group II at a higher rate than group I. There was a statistically significant difference between the groups in terms of drainage type (p:0.002). There were bleeding complications in 19.3% (n:12) of the patients. Bleeding rate was higher in group II (31.8%) compared to group I (12.5%), and there was no statistically significant difference between the groups (p:0.094). None of the patients required surgical treatment due to bleeding and mortality did not occur. Conclusion: In patients with abnormal hemostasis requiring percutaneous biliary drainage, the rate of bleeding complications was higher in patients whose hemostasis was not corrected than in those with corrected hemostasis.

Keywords

• percutaneous biliary drainage
• hemobilia
• bleeding complications
• hemostasis

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