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Endoscopic stenting of gallbladder for symptomatic cholelithiasis in patients with end-stage liver disease awaiting orthotopic liver transplantation.
Am J Gastroenterol. 1996 Mar; 91(3):595-8.AJ

Abstract

Cholecystectomy in patients with advanced cirrhosis is associated with excessive morbidity and mortality. Symptomatic cholelithiasis in patients awaiting orthotopic liver transplantation poses unique management issues. Three patients with end-stage liver disease, severe enough to warrant hepatic transplantation, developed symptoms and complications of cholelithiasis requiring intervention. Each underwent placement of a biliary stent from gallbladder to duodenum at endoscopic retrograde cholangiopancreatogram. In each case, biliary symptoms and complications ceased after stent placement. Two patients remained symptom-free until they underwent successful liver transplantation, and the third awaits transplant and is currently free of symptoms of cholelithiasis. Endoscopic placement of gallbladder stents represents a temporizing alternative for the management of patients with symptomatic cholelithiasis awaiting hepatic transplantation.

Authors+Show Affiliations

Division of Gastroenterology and Hepatology, Department of Medicine, University of Colorado School of Medicine, Denver, Colorado USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

8633518

Citation

Shrestha, R, et al. "Endoscopic Stenting of Gallbladder for Symptomatic Cholelithiasis in Patients With End-stage Liver Disease Awaiting Orthotopic Liver Transplantation." The American Journal of Gastroenterology, vol. 91, no. 3, 1996, pp. 595-8.
Shrestha R, Bilir BM, Everson GT, et al. Endoscopic stenting of gallbladder for symptomatic cholelithiasis in patients with end-stage liver disease awaiting orthotopic liver transplantation. Am J Gastroenterol. 1996;91(3):595-8.
Shrestha, R., Bilir, B. M., Everson, G. T., & Steinberg, S. E. (1996). Endoscopic stenting of gallbladder for symptomatic cholelithiasis in patients with end-stage liver disease awaiting orthotopic liver transplantation. The American Journal of Gastroenterology, 91(3), 595-8.
Shrestha R, et al. Endoscopic Stenting of Gallbladder for Symptomatic Cholelithiasis in Patients With End-stage Liver Disease Awaiting Orthotopic Liver Transplantation. Am J Gastroenterol. 1996;91(3):595-8. PubMed PMID: 8633518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic stenting of gallbladder for symptomatic cholelithiasis in patients with end-stage liver disease awaiting orthotopic liver transplantation. AU - Shrestha,R, AU - Bilir,B M, AU - Everson,G T, AU - Steinberg,S E, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 595 EP - 8 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 91 IS - 3 N2 - Cholecystectomy in patients with advanced cirrhosis is associated with excessive morbidity and mortality. Symptomatic cholelithiasis in patients awaiting orthotopic liver transplantation poses unique management issues. Three patients with end-stage liver disease, severe enough to warrant hepatic transplantation, developed symptoms and complications of cholelithiasis requiring intervention. Each underwent placement of a biliary stent from gallbladder to duodenum at endoscopic retrograde cholangiopancreatogram. In each case, biliary symptoms and complications ceased after stent placement. Two patients remained symptom-free until they underwent successful liver transplantation, and the third awaits transplant and is currently free of symptoms of cholelithiasis. Endoscopic placement of gallbladder stents represents a temporizing alternative for the management of patients with symptomatic cholelithiasis awaiting hepatic transplantation. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/8633518/Endoscopic_stenting_of_gallbladder_for_symptomatic_cholelithiasis_in_patients_with_end_stage_liver_disease_awaiting_orthotopic_liver_transplantation_ L2 - http://www.diseaseinfosearch.org/result/4280 DB - PRIME DP - Unbound Medicine ER -