Tags

Type your tag names separated by a space and hit enter

Endoscopic management of biliary complications after orthotopic liver transplantation.
Hepatobiliary Pancreat Dis Int. 2006 Feb; 5(1):39-42.HP

Abstract

BACKGROUND

Biliary complications are a serious problem in patients after liver transplantation and often require reoperation. This study was conducted to summarize the endoscopic diagnosis and management of biliary complications after orthotopic liver transplantation (OLT).

METHODS

From December 2000 to November 2003, twelve endoscopic retrograde cholangiopancreatographies (ERCPs) were performed in 7 patients after OLT at Digestive Endoscopic Center of Changhai Hospital in Shanghai, China. The therapeutic maneuvers included endoscopic sphincterotomy (EST), biliary stent placement, balloon and basket extraction, irrigation, and nasobiliary tube placement. A retrospective study was made to determine the types of biliary tract complications after OLT. The success of ERCP and therapeutic maneuvers was also evaluated.

RESULTS

Biliary tract complications including biliary stricture, biliary leak, biliary sludge, and stump leak of the cyst duct were treated respectively by endoscopic sphincterotomy with sludge extraction, stricture dilation or endoscopic retrograde biliary drainage. Two of the 3 patients with proximal common bile duct stricture were successfully treated with ERCP and stent placement. Four patients with anastomotic stricture and/without bile leak were treated successfully by dilation and stent placement or endoscopic nosobiliary drainage. No severe ERCP-related complications occurred.

CONCLUSIONS

ERCP is an effective and accurate approach for the diagnosis of biliary tract complications after OLT, and placement of a stent is a safe initial treatment for biliary complications after liver transplantation.

Authors+Show Affiliations

Department of Hepatobiliary Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16481280

Citation

Qin, Yun-Sheng, et al. "Endoscopic Management of Biliary Complications After Orthotopic Liver Transplantation." Hepatobiliary & Pancreatic Diseases International : HBPD INT, vol. 5, no. 1, 2006, pp. 39-42.
Qin YS, Li ZS, Sun ZX, et al. Endoscopic management of biliary complications after orthotopic liver transplantation. Hepatobiliary Pancreat Dis Int. 2006;5(1):39-42.
Qin, Y. S., Li, Z. S., Sun, Z. X., Wu, R. P., Wang, N., & Yao, Y. Z. (2006). Endoscopic management of biliary complications after orthotopic liver transplantation. Hepatobiliary & Pancreatic Diseases International : HBPD INT, 5(1), 39-42.
Qin YS, et al. Endoscopic Management of Biliary Complications After Orthotopic Liver Transplantation. Hepatobiliary Pancreat Dis Int. 2006;5(1):39-42. PubMed PMID: 16481280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic management of biliary complications after orthotopic liver transplantation. AU - Qin,Yun-Sheng, AU - Li,Zhao-Shen, AU - Sun,Zhen-Xing, AU - Wu,Ren-Pei, AU - Wang,Na, AU - Yao,Yin-Zhen, PY - 2006/2/17/pubmed PY - 2006/6/16/medline PY - 2006/2/17/entrez SP - 39 EP - 42 JF - Hepatobiliary & pancreatic diseases international : HBPD INT JO - Hepatobiliary Pancreat Dis Int VL - 5 IS - 1 N2 - BACKGROUND: Biliary complications are a serious problem in patients after liver transplantation and often require reoperation. This study was conducted to summarize the endoscopic diagnosis and management of biliary complications after orthotopic liver transplantation (OLT). METHODS: From December 2000 to November 2003, twelve endoscopic retrograde cholangiopancreatographies (ERCPs) were performed in 7 patients after OLT at Digestive Endoscopic Center of Changhai Hospital in Shanghai, China. The therapeutic maneuvers included endoscopic sphincterotomy (EST), biliary stent placement, balloon and basket extraction, irrigation, and nasobiliary tube placement. A retrospective study was made to determine the types of biliary tract complications after OLT. The success of ERCP and therapeutic maneuvers was also evaluated. RESULTS: Biliary tract complications including biliary stricture, biliary leak, biliary sludge, and stump leak of the cyst duct were treated respectively by endoscopic sphincterotomy with sludge extraction, stricture dilation or endoscopic retrograde biliary drainage. Two of the 3 patients with proximal common bile duct stricture were successfully treated with ERCP and stent placement. Four patients with anastomotic stricture and/without bile leak were treated successfully by dilation and stent placement or endoscopic nosobiliary drainage. No severe ERCP-related complications occurred. CONCLUSIONS: ERCP is an effective and accurate approach for the diagnosis of biliary tract complications after OLT, and placement of a stent is a safe initial treatment for biliary complications after liver transplantation. SN - 1499-3872 UR - https://www.unboundmedicine.com/medline/citation/16481280/Endoscopic_management_of_biliary_complications_after_orthotopic_liver_transplantation_ L2 - http://www.diseaseinfosearch.org/result/7171 DB - PRIME DP - Unbound Medicine ER -