The Classification of Biliary Strictures ın Patients With Right Lobe Liver Transplant Recipients and Its Relation to Traversing the Stricture With a Guidewire

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Erkan Parlak ◽  
Cem Simsek ◽  
Aydın Seref Koksal ◽  
Ahmet Tarık Eminler ◽  
Emre Unal ◽  
...  
1998 ◽  
Vol 47 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Rafat S. Rizk ◽  
John P. McVicar ◽  
Mary J. Emond ◽  
Charles A. Rohrmann ◽  
Kris V. Kowdley ◽  
...  

2017 ◽  
Vol 31 (2) ◽  
pp. e12881 ◽  
Author(s):  
André Viveiros ◽  
Rafael Rehwald ◽  
Erich Vettori ◽  
Armin Finkenstedt ◽  
Maria Effenberger ◽  
...  

2012 ◽  
Vol 26 (9) ◽  
pp. 607-610 ◽  
Author(s):  
Kris P Croome ◽  
Vivian McAlister ◽  
Paul Adams ◽  
Paul Marotta ◽  
William Wall ◽  
...  

BACKGROUND Previous studies have shown a higher incidence of biliary complications following donation after cardiac death (DCD) liver transplantation compared with donation after brain death (DBD) liver transplantation. The endoscopic management of ischemic type biliary strictures in patients who have undergone DCD liver transplants needs to be characterized further.METHODS: A retrospective institutional review of all patients who underwent DCD liver transplant from January 2006 to September 2011 was performed. These patients were compared with all patients who underwent DBD liver transplantation in the same time period. A descriptive analysis of all DCD patients who developed biliary complications and their subsequent endoscopic management was also performed.RESULTS: Of the 36 patients who received DCD liver transplants, 25% developed biliary complications compared with 13% of patients who received DBD liver transplants (P=0.062). All DCD allograft recipients who developed biliary complications became symptomatic within three months of transplantation. Ischemic type biliary strictures in DCD allograft recipients included disseminated biliary strictures in two patients, biliary strictures of the hepatic duct bifurcation in three patients and biliary strictures of the donor common hepatic duct in three patients.CONCLUSIONS: There was a trend toward increasing incidence of total biliary complications in recipients of DCD liver allografts compared with those receiving DBD livers, and the rate of diffuse ischemic cholangiopathy was significantly higher. Focal ischemic type biliary strictures can be treated effectively in DCD liver transplant recipients with favourable results. Diffuse ischemic type biliary strictures in DCD liver transplant recipients ultimately requires retransplantation.


2017 ◽  
Vol 5 (6) ◽  
pp. 827-845 ◽  
Author(s):  
Dayse Pereira da Silva Aparício ◽  
José Pinhata Otoch ◽  
Edna Frasson de Souza Montero ◽  
Muhammad Ali Khan ◽  
Everson Luiz de Almeida Artifon

2018 ◽  
Vol 154 (6) ◽  
pp. S-1144
Author(s):  
Divyanshoo R. Kohli ◽  
M Edwyn Harrison ◽  
Abimbola Adike ◽  
Norio Fukami ◽  
Douglas O. Faigel ◽  
...  

2017 ◽  
Vol 50 (5) ◽  
pp. 308-313 ◽  
Author(s):  
Leandro Cardarelli-Leite ◽  
Vinicius Adami Vayego Fornazari ◽  
Rogério Renato Peres ◽  
Alcides Augusto Salzedas-Neto ◽  
Adriano Miziara Gonzalez ◽  
...  

Abstract Objective: To evaluate the percutaneous transhepatic approach to the treatment of biliary strictures in pediatric patients undergoing liver transplantation. Materials and Methods: This was a retrospective study of data obtained from the medical records, laboratory reports, and imaging examination reports of pediatric liver transplant recipients who underwent percutaneous transhepatic cholangiography, because of clinical suspicion of biliary strictures, between 1st September 2012 and 31 May 2015. Data were collected for 12 patients, 7 of whom were found to have biliary strictures. Results: In the 7 patients with biliary strictures, a total of 21 procedures were carried out: 2 patients (28.6%) underwent the procedure twice; 3 (42.8%) underwent the procedure three times; and 2 (28.6%) underwent the procedure four times. Therefore, the mean number of procedures per patient was 3 (range, 2–4), and the average interval between them was 2.9 months (range, 0.8–9.1 months). The drainage tube remained in place for a mean of 5.8 months (range, 3.1–12.6 months). One patient presented with a major complication, hemobilia, which was treated with endovascular embolization. Clinical success was achieved in all 7 patients, and the mean follow-up after drain removal was 15.4 months (range, 5.3–26.7 months). Conclusion: The percutaneous transhepatic approach to treating biliary strictures in pediatric liver transplant recipients proved safe, with high rates of technical and clinical success, as well as a low rate of complications.


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