Acta gastro-enterologica Belgica · 2026
Therapeutic challenges in the multidisciplinary approach of liver transplant-associated biliary tract complications in Roux-en-Y gastric bypass patients.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Nuñez-Pizarro J L, Dahlqvist G, Monino L, Deprez P, Goffette P, Bonaccorsi Riani E, Coubeau L, Ciccarelli O, Moreels T
Аннотация
INTRODUCTION: This case series addresses the available non-surgical approaches for the management of biliary tract complications in liver transplant (LT) patients with a history of Roux-en-Y gastric bypass (RYGB).
METHODS: Descriptive single center case series of endoscopic and radiological treatments of biliary tract complications in LT recipients with a history of RYGB.
RESULTS: Balloon enteroscopy-assisted-ERCP (BE-ERCP), endoscopic ultrasound (EUS)-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE), percutaneous transhepatic biliary drainage (PTBD), or a combination of these procedures are used according to the clinical indication or the surgical biliary reconstruction (duct-to-duct anastomosis vs hepaticojejunostomy) in conjunction with RYGB. Case 1 was treated with PTBD, followed by BE-ERCP; case 2 with BE-ERCP, followed by EDGE; case 3 with PTBD, followed by EDGE; and case 4 with BE-ERCP.
CONCLUSION: Both BE-ERCP, EDGE and PTBD in different combinations are reliable non-surgical therapeutic approaches for treating LT-associated biliary tract complications in RYGB patients.
METHODS: Descriptive single center case series of endoscopic and radiological treatments of biliary tract complications in LT recipients with a history of RYGB.
RESULTS: Balloon enteroscopy-assisted-ERCP (BE-ERCP), endoscopic ultrasound (EUS)-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE), percutaneous transhepatic biliary drainage (PTBD), or a combination of these procedures are used according to the clinical indication or the surgical biliary reconstruction (duct-to-duct anastomosis vs hepaticojejunostomy) in conjunction with RYGB. Case 1 was treated with PTBD, followed by BE-ERCP; case 2 with BE-ERCP, followed by EDGE; case 3 with PTBD, followed by EDGE; and case 4 with BE-ERCP.
CONCLUSION: Both BE-ERCP, EDGE and PTBD in different combinations are reliable non-surgical therapeutic approaches for treating LT-associated biliary tract complications in RYGB patients.