Percutaneous transhepatic biliary drainage may serve as a successful rescue procedure in failed cases of endoscopic therapy for a post–living donor liver transplantation biliary stricture

作者: Eak Seong Kim , Byung Jun Lee , Jong Yun Won , Jong Yong Choi , Dong Ki Lee

DOI: 10.1016/J.GIE.2008.03.1113

关键词:

摘要: Background Although a biliary stricture is one of the most important complications that develop after living donor liver transplantation (LDLT), standard approach has not yet been established. Objective The aim this study was to evaluate usefulness nonoperative management in repairing post-LDLT stricture. Design A total 60 patients were referred, from July 2004 2007, for had ERCP if hepatic arterial flow patent on Doppler sonography. If endoscopic therapy failed, then percutaneous transhepatic drainage (PTBD) performed dilate also repeated PTBD 3-dimensional abdominal CT (3D-CT). Setting Division Gastroenterology, Department Internal Medicine, Yongdong Severance Hospital. Patients Sixty referred Catholic University Hospital Korea ERCP. Results all patients, and 38 (63%) successfully treated. When shape distal side bile-duct anastomosis classified into 3 categories (pouched, triangular, intermediate), pouched showed lowest success rate (25% [4/16]). Fifteen 22 whom failed treated by using PTBD. Nine 15 managed first attempt, 4 6 attempt 3D-CT. Four with alternative branch Conclusions feasible modality treatment stricture, but, cases, especially shape, can be attempted. initial trial fails, biliary-tract examination, such as 3D-CT, useful trial.

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