Results of endoscopic management of anastomotic biliary strictures after orthotopic liver transplantation.
Makaleler > Tam Makale · 2006
Yazarlar: Sinan Akay, Abdullah Zeki KARASU, Galip ERSÖZ, Murat Kiliç, Murat Akyildiz, Fulya GÜNŞAR, Ulus Salih AKARCA, Yücel Batur, Tankut Ilter
The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, Uluslararası, 2006, cilt 17, ss 159-63
Özet
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.