Percutaneous interventional management of biliary complications after pediatric liver transplantation: A 16-year single-institution experience

被引：9
作者：
Prajapati, Hasmukh J. [1 ]
Kavali, Pavan [2 ]
Kim, Hyun S. [3 ,4 ]
机构：
[1] Univ Tennessee, Hlth Sci Ctr, Dept Radiol, Div Intervent Radiol, Memphis, TN USA
[2] Washington Univ, Sch Med, Mallinckrodt Inst Radiol, Div Intervent Radiol, St Louis, MO USA
[3] Yale Univ, Dept Radiol & Biomed Imaging, Div Intervent Radiol, New Haven, CT USA
[4] Yale Canc Ctr, New Haven, CT USA
来源：
PEDIATRIC TRANSPLANTATION | 2017年 / 21卷 / 01期
关键词：
biliary leak; biliary stricture; orthotopic liver transplantation; pediatric liver transplantation; percutaneous interventional management; RADIOLOGY; STRICTURES; CHILDREN; PROGRAM; LEAK;
D O I：
10.1111/petr.12837
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
The aim of the study was to investigate the BiCx after the pediatric OLT and to assess the efficacy of the fluoroscopic-guided PBI in the patients with BiCx as compared to the SR. A total of 340 OLTs were performed in 302 patients over the last 16years. The inclusion criteria were the presence of BS or BL as a complication after OLT. The management of the BiCx was studied. Graft revision, graft loss, and survival were evaluated following PBI and SR. BiCx occurred in 17.1% (58/339) of the transplants; 6.2% (21/339) of transplants demonstrated BL and 12.7% (43/339) of the transplants had BS. Overall graft survival rates at 1 and 3years in OLT with BL treated with PBI were 75.0% and 68.8% as compared with 75% and 66.7% in OLT treated with SR (P>.05). Overall graft survival rates at 1 and 3years in OLT with BS treated with PBI were 70.6% and 54.5% as compared with 71.4% and 50% in OLT with SR or ERCP, respectively (P>.05). Based on the results, we conclude that PBI is as effective as SR in patients with the BL and BS after OLT.
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页数：7
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