scholarly journals Endoscopic retrograde cholangio-pancreatography in the management of biliary complications after paediatric liver transplantation - a retrospective study

2017 ◽  
Vol 31 (3) ◽  
pp. 313-317 ◽  
Author(s):  
Sivaramakrishnan Venkatesh Karthik ◽  
Seng-Hock Quak ◽  
Marion M. Aw
Keyword(s):  
Liver Transplantation ◽  
Retrospective Study ◽  
Biliary Complications ◽  
Endoscopic Retrograde ◽  
Paediatric Liver Transplantation

scholarly journals Morphological Characteristics of Biliary Strictures after Liver Transplantation Visualized Using SpyGlass™ Cholangioscopy

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yathip M. Chokpapone ◽  
Anne R. Murray ◽  
Ashwini P. Mehta ◽  
Vichin C. Puri ◽  
Alejandro Mejia ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Transplant ◽  
Morphological Characteristics ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Biliary Complications ◽  
Direct Visualization ◽  
Biliary Strictures ◽  
Endoscopic Retrograde ◽  
Visualization System ◽  
Transplant Patients

Biliary complications following liver transplant are common. Endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) are the main techniques used to diagnose and treat biliary complications; however, these techniques have limits to the depth of visualization. In this report, we present five cases of orthotopic liver transplant patients with biliary complications that underwent ERCP- or MRCP-guided cholangioscopy with the SpyGlass™ DS Direct Visualization System (SDDVS). The SDDVS allowed for the visualization of the morphological characteristics of biliary strictures, and images collected using the SDDVS allowed for four of the cases to be treated endoscopically. Our findings suggest that cholangioscopy with the SDDVS is a promising method to guide the endoscopic treatment of biliary complications after liver transplantation.

scholarly journals Anastomose Biliar no Transplante Hepático: Com ou Sem Tubo em T?

2017 ◽  
Vol 30 (2) ◽  
pp. 122
Author(s):  
Janine Carmelino ◽  
Susana Rodrigues ◽  
Hugo Pinto Marques ◽  
Vasco Ribeiro ◽  
Daniel Virella ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Logistic Regression ◽  
Explanatory Models ◽  
Biliary Fistula ◽  
Biliary Complications ◽  
Cold Ischemia ◽  
Liver Transplants ◽  
Endoscopic Retrograde ◽  
T Tube ◽  
Case Based

Introduction: Biliary complications occur in 10-30% of liver transplants. The aim of this study was to compare the incidence of these complications in liver transplants when the T-tube was or was not used during the biliary anastomosis.Material and Methods: Analysis of 2 groups of patients undergoing liver transplantation between 2008 and 2012. Patients were divided considering if the T-tube was used (G1) or if it was not (G2). We sought explanatory models of the occurrence of biliary complications by logistic regression, including the variables identified in the univariate analysis.Results: We reviewed 506 consecutive patients who underwent a first liver transplant (G1 = 363, G2 = 143). The overall incidence of biliary complications was 24.7% (95% CI 21.1 to 28.6): 27.0% in G1 and 18.9% in G2 (p = 0.057). The incidences of stenosis and biliary fistula tended to be higher in G1: 19.6% (95% CI 15.7 to 23.8) vs 15.4% (95% CI 10.1 to 22.0) (p = 0.275) and 6.6% (95% CI 4.4 to 9.5) vs 2.8% (95% CI 0.9 to 6.6) (p = 0.091). We did not find statistically significant differences in the rates of endoscopic retrograde cholangiopancreatography, reoperation and retransplantation. There were two deaths in G1. There was no association between the occurrence of biliary complications and the diameters of the biliary tract nor the time of cold ischemia. The explanatory model, adjusted to the recipient and the donor age’s and to the initial diagnosis, identifies the use of the T-tube as increasing the possibility of the occurrence of biliary complications (AdjOR 1.71, 95% CI 1.04 to 2.80; p = 0.034).Discussion and Conclusion: The use of the T-tube should be a decision taken on a case-based intraoperative judgment of experienced surgeons

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