The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2006
Results of endoscopic management of anastomotic biliary strictures after orthotopic liver transplantation.
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Akay Sinan, Karasu Zeki, Ersöz Galip, Kiliç Murat, Akyildiz Murat, Günşar Fulya, Akarca Ulus, Batur Yücel, Ilter Tankut
Аннотация
BACKGROUND/AIMS: Anastomotic biliary strictures are common biliary complications after orthotopic liver transplantation. We assessed the success of endoscopic retrograde cholangio-pancreaticography (ERCP) in the treatment and outcome of post-liver transplantation anastomotic biliary strictures in a university hospital, retrospectively.
METHODS: Thirty-three ERCPs were performed in 20 of 162 adult liver transplant recipients with duct to duct anastomosis.
RESULTS: In five patients, ERCP failed because the stricture could not be passed with guidewire. Four patients were treated with balloon dilatation only; two of them are recurrence-free with a follow-up of 24 and 8 months. Eleven patients had balloon dilatation and plastic stent placement as their primary treatment modality. In six of them, the anastomosis remained patent for the rest of the follow-up (22+/-13 months). Five patients had stricture recurrence after first stenting which necessitated re-stenting; four of them required a third, and three had a fourth stenting.
CONCLUSIONS: Endoscopic balloon dilatation and stenting are safe and effective means of treatment of anastomotic biliary strictures following liver transplantation.
METHODS: Thirty-three ERCPs were performed in 20 of 162 adult liver transplant recipients with duct to duct anastomosis.
RESULTS: In five patients, ERCP failed because the stricture could not be passed with guidewire. Four patients were treated with balloon dilatation only; two of them are recurrence-free with a follow-up of 24 and 8 months. Eleven patients had balloon dilatation and plastic stent placement as their primary treatment modality. In six of them, the anastomosis remained patent for the rest of the follow-up (22+/-13 months). Five patients had stricture recurrence after first stenting which necessitated re-stenting; four of them required a third, and three had a fourth stenting.
CONCLUSIONS: Endoscopic balloon dilatation and stenting are safe and effective means of treatment of anastomotic biliary strictures following liver transplantation.
Предметные рубрики MeSH
AdolescentAdultAnastomosis, SurgicalBiliary TractCatheterizationCholangiopancreatography, Endoscopic RetrogradeCholangitisCholedochostomyCholestasisConstriction, PathologicFemaleFollow-Up StudiesHumansLiver CirrhosisLiver TransplantationMaleMiddle AgedRecurrenceReoperationRetrospective StudiesStentsTreatment OutcomeTurkey