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An Update on Endoscopic Management of Post-Liver Transplant Biliary Complications
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논문 기본 정보

Type
Academic journal
Author
Journal
The Korean Society Of Gastrointestinal Endoscopy Clinical Endoscopy Clinical Endoscopy 제50권 제5호 KCI Accredited Journals SCOPUS
Published
2017.1
Pages
451 - 463 (13page)

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An Update on Endoscopic Management of Post-Liver Transplant Biliary Complications
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Biliary complications are the most common post-liver transplant (LT) complications with an incidence of 15%–45%. Furthermore, such complications are reported more frequently in patients who undergo a living-donor LT compared to a deceased-donor LT. Most post-LT biliary complications involve biliary strictures, bile leakage, and biliary stones, although many rarer events, such as hemobilia and foreign bodies, contribute to a long list of related conditions. Endoscopic treatment of post-LT biliary complications has evolved rapidly, with new and effective tools improving both outcomes and success rates; in fact, the latter now consistently reach up to 80%. In this regard, conventional endoscopic retrograde cholangiopancreatography remains the preferred initial treatment. However, percutaneous transhepatic cholangioscopy is now central to the management of endoscopy-resistant cases involving complex hilar or multiple strictures with associated stones. Many additional endoscopic tools and techniques—such as the rendezvous method, magnetic compression anastomosis, and peroral cholangioscopy—combined with modified biliary stents have significantly improved the success rate of endoscopic management. Here, we review the current status of endoscopic treatment of post-LT biliary complications and discuss conventional as well as the aforementioned new tools and techniques.
#Liver transplantation #Biliary tract diseases #Choledocholithiasis #Anastomotic leak #Cholangiopancreatography #endoscopic retrograde

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[학술지( google schola Akamatsu N / 2011 / Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, google schola Arain MA / 2013 / Advances in endoscopic management of biliary tract complications after liver transplantation / Liver Transpl 19 : 482 ~ 498 google schola Attam R / 2011 / EUS-assisted, fluoroscopically guided gastrostomy tube placement in patients with Roux-en-Y gastric bypass: a novel technique for access to the gastric remn google schola Azzam A / 2010 / Analysis of complications in hepatic right lobe living donors / Ann Saudi Med 30 : 18 ~ 24 google schola

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