Endoscopic management of biliary strictures after duct-to-duct biliary reconstruction in right-lobe living-donor liver transplantation
In: Transplantation, Jg. 76 (2003), Heft 5, S. 810-815
Online
academicJournal
- print, 23 ref
Zugriff:
Background. The aims of this study were to characterize the features of the biliary strictures that occu after duct-to-duct biliary reconstruction during right lobe living-donor liver transplantation (LDLT) and t evaluate the feasibility of correcting such strictur endoscopically by inserting an inside stent, that is, short internal stent, above the sphincter of Oddi. Methods. Biliary stricture occurred in 26 (35.6%) 73 consecutive patients who underwent right-lobs LDLT with duct-to-duct biliary reconstruction fron July 1999 through October 2001 and survived for more than 3 months. Of the 26 patients who had biliary stricture, 22 were referred for endoscopic retrograde cholangiography (ERC) and 4 for percutaneous cholangiography. Results. ERC disclosed biliary stricture in 19 (86.4% of the 22 patients who underwent the procedure. One patient had an unbranched stricture, 16 had a fork shaped stricture, 1 had a trident-shaped stricture, anc 1 had a stricture with more than three branches. Four teen (73.7%) of the patients with strictures were treated endoscopically by inserting inside stents rang ing from 7 F to 12 F in size, three underwent a Roux en-Y hepaticojejunostomy to repair their stricture and two were closely observed as outpatients. Of the 14 patients who were treated with the inside-stent, only 1 had acute cholangitis immediately after the procedure and underwent a Roux-en-Y hepaticojejunostomy. The other 13 patients who were treated with the inside stent have not required surgical repair for as long as an average of 586 days. Conclusion. Endoscopic placement of an inside stent is useful for treating biliary strictures in patients who have undergone right-lobe LDLT with duct-to-duct reconstruction.
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Endoscopic management of biliary strictures after duct-to-duct biliary reconstruction in right-lobe living-donor liver transplantation
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Autor/in / Beteiligte Person: | HISATSUNE, Hiroshi ; YAZUMI, Shujiro ; CHIBA, Tsutomu ; EGAWA, Hiroto ; ASADA, Masanori ; HASEGAWA, Kazunori ; KODAMA, Yuzo ; OKAZAKI, Kazuichi ; ITOH, Kyo ; TAKAKUWA, Hiroshi ; TANAKA, Koichi |
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Zeitschrift: | Transplantation, Jg. 76 (2003), Heft 5, S. 810-815 |
Veröffentlichung: | Hagerstown, MD: Lippincott, 2003 |
Medientyp: | academicJournal |
Umfang: | print, 23 ref |
ISSN: | 0041-1337 (print) |
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