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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 417 - 423 (7page)
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Background/Aims: Endoscopic retrograde cholangiopancreatography (ERCP) can be an effective treatment for bile leakage after liver transplantation. We evaluated the efficacy of endoscopic treatment in liver transplantation in patients who developed bile leaks. Methods: Forty-two patients who developed bile leaks after liver transplantation were included in the study. If a bile leak was observed on ERCP, a sphincterotomy was performed, and a nasobiliary catheter was then inserted. If a bile leak was accompanied by a bile duct stricture, either the stricture was dilated with balloons, followed by nasobiliary catheter insertion across the bile duct stricture, or endoscopic retrograde biliary drainage was performed. Results: In the bile leakage alone group (22 patients), endoscopic treatment was technically successful in 19 (86.4%) and clinically successful in 17 (77.3%) cases. Among the 20 patients with bile leaks with bile duct strictures, endoscopic treatment was technically successful in 13 (65.0%) and clinically successful in 10 (50.0%) cases. Among the 42 patients who underwent ERCP, technical success was achieved in 32 (76.2%) cases and clinical success was achieved in 27 (64.3%) cases. Conclusions: ERCP is an effective and safe therapeutic modality for bile leaks after liver transplantation. ERCP should be considered as an initial therapeutic modality in post-liver transplantation patients.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Albishri SH / 2001 / Bile leak from duct of Luschka after liver transplantation / Transplantation 72 : 338 ~ 340
Chahal P / 2007 / Endoscopic retrograde cholangiography in post-orthotopic liver transplant population with Roux-en-Y biliary reconstruction / Liver Transpl 13 : 1168 ~ 1173
Cotton PB / 1991 / Endoscopic sphincterotomy complications and their management: an attempt at consensus / Gastrointest Endosc 37 : 383 ~ 393
Dulundu E / 2004 / Duct-to-duct biliary reconstruction in adult living-donor liver transplantation / Transplantation 78 : 574 ~ 579
Gondolesi GE / 2004 / Biliary complications in 96 consecutive right lobe living donor transplant recipients / Transplantation 77 : 1842 ~ 1848
Chahal P / 2007 / Endoscopic retrograde cholangiography in post-orthotopic liver transplant population with Roux-en-Y biliary reconstruction / Liver Transpl 13 : 1168 ~ 1173
Cotton PB / 1991 / Endoscopic sphincterotomy complications and their management: an attempt at consensus / Gastrointest Endosc 37 : 383 ~ 393
Dulundu E / 2004 / Duct-to-duct biliary reconstruction in adult living-donor liver transplantation / Transplantation 78 : 574 ~ 579
Gondolesi GE / 2004 / Biliary complications in 96 consecutive right lobe living donor transplant recipients / Transplantation 77 : 1842 ~ 1848
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