Nasobiliary catheter drainage was first introduced a decade ago. It provides drainage of the biliary system and facilitates interventional procedures of the biliary and pancreatic system, both for therapy and research purposes.
1) ENBD was successfully performed in 81 out of 84 (95.3%) patients with biliary and pancreatic disease.
2) The indication of ENBD in our patients was for acute suppurative cholangitis (n=25), prevention of sone impaction after EST (n=22) , gallstone pancreatitis (n=12), ESWL of bile duct stones (n=15), overt sotne impaction (n=7), benign bile duct
stricture (n=3), malignant bile duct stricture (n=15), drainage of pancreatic pseudocyst (n=1) and pancreatic duct stone (n=1).
3) All the patients, who received ENBD successfully, showed improvement of liver function and general condition.
4) The complication of ENBD was cholangitis in 3 patients and dislodgement of tube in another 3 patients.
Inconclusion, we believe that nasobiliary catheter should be appled more frequently during endoscopic manipulation of the biliary and pancreatic system and that the technique of insertion should become an essential part of training in ERCP.
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