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Hello Everyone, Which is the best method to reduce jaundice in bile duct cancer: ERCP or PTBD? Let's discuss this. My name is Dr. Praveen kammar, a cancer surgeon specializing in digestive system and gynecological cancers. _______________________ 📌For any queries, contact us at the given number or visit our website! Contact - 9372392003 Website:- https://drpraveenkammar.com/ CLINIC LOCATIONS : (A) Borivali Health Care, Lancelot Apartments, A wing, 4th floor, 401, Swami Vivekananda Rd, Shastri Nagar, Sumer Nagar, Borivali West, Mumbai, Maharashtra 400092 (B) SSO Hospital, ABOVE Bellevue Multispecialty Hospital, New Link Road, 2 floors, Opp. D.N. Nagar Metro Station gate no 3, Next to Audi Showroom, New Link Rd, opp. Star Bazaar Extension, Andheri West, Mumbai, Maharashtra 400053 _______________________ Overview of ERCP and PTBD In our previous videos, we discussed bile duct cancer in great detail. Our playlist provides more in-depth knowledge about the same. So don’t forget to check it out too. Today, we'll discuss whether ERCP or PTBD is better for reducing jaundice. What is ERCP? ERCP uses an endoscope through the mouth to place a stent in the bile duct, allowing internal drainage. Everything is done internally. What is PTBD? PTBD involves puncturing the liver through the skin, inserting a guide wire and stent to drain bile externally. Eventually, the external stent is replaced by an internal one, similar to ERCP. Choosing Between ERCP and PTBD There is no significant scientific difference between the two methods. Studies show both are effective. The choice depends on several factors: Type of Hilar Cholangiocarcinoma: Type I and II are usually treated with ERCP. Type III and IV, which involve the right and left hepatic ducts, may be better suited for PTBD due to difficulty reaching these areas endoscopically. Experience of the Practitioner: An experienced endoscopist may use ERCP even for complex blockages, while PTBD might be preferred where endoscopic facilities are limited. Institutional Protocols and Policies: Some institutions prefer to start with ERCP and use PTBD if ERCP fails, while others may do the opposite. Instrumentation and Facilities: Availability of facilities for either procedure in Tier II and III cities may influence the choice. Surgeon's Perspective From a surgeon's point of view, PTBD has some advantages, as it reduces inflammation in the surgical area, making future surgeries easier. Conclusion There is no fixed formula for choosing between ERCP and PTBD. The most feasible and successful method should be selected. If you have any doubts or need guidance on bile duct cancer, please write to us in the comments or contact our team directly. The video flow is as follows: 0:00 Video Disclaimer 0:03 Introduction of Dr Praveen Kammar 0:07 Overview of ERCP and PTBD 0:39 Explanation of ERCP 1:00 Explanation of PTBD 2:14 Choosing Between ERCP and PTBD 2:35 Factors Influencing the Choice 5:00 Surgeon's Perspective 5:28 Conclusion and Assurance 5:36 Contact Information and Thank You _______________________ Related videos: 1. MRCP: पित्त नली के कैंसर के लिए सबसे जरूरी जांच | Bile Duct Cancer Diagnosis in Hindi | Dr Kammar • MRCP: पित्त नली के कैंसर के लिए सबसे जरूरी... 2. Stenting के बाद भी Jaundice कम नहीं हो रहा? Is it Possible? | Jaundice and Stenting | Dr Praveen • Stenting के बाद भी Jaundice कम नहीं हो रहा... 3. Pancreatic cancer में Jaundice का इलाज करते समय Complications | Dr Praveen Kammar • Pancreatic cancer में Jaundice का इलाज करत... 4. Best Stent for Bile Duct Cancer-Related Jaundice | Metal or Plastic Stent? | Dr Praveen Kammar • Best Stent for Bile Duct Cancer-Related Ja... 5. How Long Does Jaundice Take to Resolve After Stenting? | Bile Duct Cancer | Dr Praveen Kammar • How Long Does Jaundice Take to Resolve Aft... _______________________ About Dr. Praveen Kammar Dr Praveen Kammar is a surgical oncologist practicing in the city of Mumbai. He completed his MCh course in surgical oncology at the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in colorectal surgery from Yopnsei Cancer Centre, Seoul, South Korea. Dr Praveen’s main areas of focus is colorectal and GI oncology, gynaecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers. Follow us on Facebook: / drpraveen.ka. . -Instagram: / drpraveenkammar. . -LinkedIn: / praveen-k. . -Website: https://drpraveenkammar.com/ Thank you. #BileDuctCancer #CancerTreatment #JaundiceReduction #ERCP #PTBD #ERCPvsPTBD #BileDuctTreatment #EndoscopicTreatment #CancerQuestions #HealthTips #CancerSupport #MedicalInsights #Cancer #drpraveenkammar