Biliary stricture in living‐related donor liver transplantation: Management with balloon dilation

摘要: Biliary stricture is a recipient graft complication, occurring late in the post-operative period, which appears to occur with increased frequency living-related donor liver transplantation (LRD LTx). We reviewed experience at University of Minnesota managing biliary complication LRD LTx. Since January 1997, 13 transplants have been performed using technique left lateral segments small portion segment IV. All patients had hepaticojejunostomies Roux-en-Y loop. Of 11 surviving patients, eight evidence cholangitis (Gram-negative sepsis, two patients; ascending cholangitis, three or unexplained fever elevated enzymes, patients) 4-8 months after otherwise successful transplantation. Six underwent percutaneous transhepatic cholangiography (PTC) demonstration stenosis site anastomosis. Repeated dilation anastomosis led resolution stenoses, normalization and prevention further episodes infection. No patient required revision hepaticojejunostomy. Computed axial tomography ductal may be subtle this group but PTC diagnostic. suggest high index suspicion LTx population. reduces risk life-threatening sepsis.