Endoscopic Management of Benign Biliary Strictures After Liver Transplantation

被引：46

作者：

Larghi, Alberto ^{[1
]}

Tringali, Andrea ^{[1
]}

Rimbas, Mihai ^{[1
,3
]}

Barbaro, Federico ^{[1
]}

Perri, Vincenzo ^{[1
]}

Rizzatti, Gianenrico ^{[1
,2
]}

Gasbarrini, Antonio ^{[2
]}

Costamagna, Guido ^{[1
,4
]}

机构：

[1] Catholic Univ, Digest Endoscopy Unit, Sci Inst Res Hospitalizat & Hlth Care, Fdn Policlin Univ A Gemelli, Largo A Gemelli 8, I-00168 Rome, Italy

[2] Catholic Univ, Div Gastroenterol, Sci Inst Res Hospitalizat & Hlth Care, Fdn Policlin Univ A Gemelli, Rome, Italy

[3] Carol Davila Univ Med, Colentina Clin Hosp, Dept Gastroenterol, Bucharest, Romania

[4] Univ Strasbourg, Inst Adv Study, Inst Hosp Univ, Strasbourg, France

来源：

LIVER TRANSPLANTATION | 2019年 / 25卷 / 02期

关键词：

EXPANDABLE METALLIC STENTS; LONG-TERM OUTCOMES; RISK-FACTORS; PLASTIC STENTS; TRACT COMPLICATIONS; T-TUBE; RECONSTRUCTION; PLACEMENT; DIAGNOSIS; PART;

D O I：

10.1002/lt.25358

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Biliary strictures represent some of the most frequent complications encountered after orthotopic liver transplantation. They comprise an array of biliary abnormalities with variations in anatomical location, clinical presentation, and different pathogenesis. Magnetic resonance cholangiography represents the most accurate noninvasive imaging test that can provide detailed imaging of the whole biliary system-below and above the anastomosis. It is of particular value in those harboring complex hilar or intrahepatic strictures, offering a detailed roadmap for planning therapeutic procedures. Endoscopic therapy of biliary strictures usually requires biliary sphincterotomy plus balloon dilation and stent placement. However, endoscopic management of nonanastomotic biliary strictures is much more complex and challenging as compared with anastomotic biliary strictures. The present article is a narrative review presenting the results of endoscopic treatment of biliary strictures occurring after liver transplantation, describing the different strategies based on the nature of the stricture and summarizing their outcomes.

引用

页码：323 / 335

页数：13

共 68 条

[1] Success and complications of an intra-ductal fully covered self-expanding metal stent (ID-FCSEMS) to treat anastomotic biliary strictures (AS) after orthotopic liver transplantation (OLT) [J].