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- Title
Outcomes of management for biliary stricture after living donor liver transplantation with hepaticojejunostomy using short-type double-balloon enteroscopy.
- Authors
Tomoda, Takeshi; Tsutsumi, Koichiro; Kato, Hironari; Mizukawa, Sho; Yabe, Syuntaro; Akimoto, Yutaka; Seki, Hiroyuki; Uchida, Daisuke; Matsumoto, Kazuyuki; Yamamoto, Naoki; Horiguchi, Shigeru; Okada, Hiroyuki
- Abstract
<bold>Background and Aims: </bold>To evaluate the outcomes of management for biliary stricture (BS) after living donor liver transplantation (LDLT) using short-type double-balloon enteroscopy.<bold>Methods: </bold>This study retrospectively evaluated 20 patients who underwent endoscopic retrograde cholangiography using short-type double-balloon enteroscopy (sDB-ERC) upon suspicion of BS after LDLT with hepaticojejunal (HJ) reconstruction at Okayama University Hospital.<bold>Results: </bold>Scope insertion to the HJ site and sDB-ERC succeeded in 85 % (17/20) and 82.4 % (14/17) of patients, respectively. Of 14 patients who required treatment for BS, 11 were successfully treated using sDB-ERC, and 3 were successfully treated using sDB-ERC and rendezvous procedures. Adverse events occurred in 2.9 % of all sessions (2/68). After resolution of BS, 7 patients (50 %) experienced a recurrence. Of these, 6 (85.7 %) were treated with only balloon dilation, and 1 (14.3 %) was treated with both balloon dilation and stent deployment (P = 0.029).<bold>Conclusions: </bold>sDB-ERC is a useful procedure for diagnosis and treatment for BS after LDLT with HJ reconstruction. Balloon dilation combined with stent deployment might be recommended for definite resolution of BS.
- Subjects
LIVER transplantation; ORGAN donors; ENTEROSCOPY; BILIARY tract; ALIMENTARY canal surgery; JEJUNUM surgery; TREATMENT of surgical complications; BILIARY tract surgery; CHOLESTASIS; COMPARATIVE studies; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SURGICAL stents; OPERATIVE surgery; DISEASE relapse; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; SURGICAL anastomosis; ENDOSCOPIC gastrointestinal surgery; EQUIPMENT &; supplies; THERAPEUTICS
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2016, Vol 30, Issue 12, p5338
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-016-4886-x