Endoscopic Retrograde Cholangiography for Biliary Anastomotic Strictures After Liver Transplantation

被引:21
作者
Fernandez-Simon, Alejandro [1 ]
Diaz-Gonzalez, Alvaro [1 ]
Thuluvath, Paul J. [2 ]
Cardenas, Andres [1 ]
机构
[1] Univ Barcelona, Hosp Clin, Inst Malalties Digest & Metab, GI Endoscopy Unit, E-08036 Barcelona, Spain
[2] Inst Digest Hlth & Liver Dis, Mercy Med Ctr, Baltimore, MD 21202 USA
关键词
ERCP; Anastomotic biliary stricture; Liver transplantation; Biliary dilatation; Biliary stents; Self-expanding metal stents; EXPANDABLE METAL STENTS; NO T-TUBE; TRACT COMPLICATIONS; RISK-FACTORS; DONOR; MANAGEMENT; RECIPIENTS; OUTCOMES; THERAPY; SAFETY;
D O I
10.1016/j.cld.2014.07.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Biliary complications after liver transplantation (LT) are an important cause of morbidity and mortality. In most cases, an anastomosis of the bile duct is performed as a duct-to-duct reconstruction, which makes endoscopic therapy with endoscopic retrograde cholangiography (ERG) feasible. Biliary anastomotic strictures (AS) are the most common cause of biliary complications. The early detection of an AS, which can sometimes be challenging given that its clinical presentation is often subtle, is of key importance to obtain high treatment success. In this review, we focus on the management of AS after LT with a special emphasis on ERG.
引用
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页码:913 / +
页数:16
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