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The Balloon Dilatation and Large Profile Catheter Maintenance Method for the Management of the Bile Duct Stricture Following Liver Transplantation  

Choo, Sung-Wook (Department of Radiology and Center for Imaging Saience, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Shin, Sung-Wook (Department of Radiology and Center for Imaging Saience, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Do, Young-Soo (Department of Radiology and Center for Imaging Saience, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Liu, Wei-Chiang (Department of Radiology, Sung-Ae General Hospital)
Park, Kwang-Bo (Department of Radiology and Center for Imaging Saience, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Sung, Yon-Mi (Department of Radiology and Center for Imaging Saience, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Choo, In-Wook (Department of Radiology and Center for Imaging Saience, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Korean Journal of Radiology / v.7, no.1, 2006 , pp. 41-49 More about this Journal
Abstract
Objective: We wanted to evaluate the therapeutic efficacy of the percutaneous balloon dilatation and large profile catheter maintenance method for the management of patients with anastomotic biliary strictures following liver transplant. Materials and Methods: From May 1999 to June 2003, 12 patients with symptomatic benign biliary stricture complicated by liver transplantation were treated with the percutaneous balloon dilatation and large profile catheter maintenance method (1-6 months). The patients were eight males and four females, and their ages ranged from 20 to 62 years (mean age: 44 years). Ten patients underwent living donor liver transplantation and two underwent cadaveric liver transplantation. Postoperative biliary strictures occurred from two to 21 months (mean age: 18 months) after liver transplantation. Results: The initial technical success rate was 92%. Patency of the bile duct was preserved for eight to 40 months (mean period: 19 months) in 10 of 12 (84%) patients. When reviewing two patients (17%), secondary balloon dilatations were needed for treating the delayed recurrence of biliary stricture. In one patient, no recurrent stenosis was seen during the further 10 months follow-up after secondary balloon dilatation. Another patient did not response to secondary balloon dilatation, and he was treated by surgery. Eleven of 12 patients (92%) showed good biliary patency for 8-40 months (mean period: 19 months) of follow-up. Conclusion: The percutaneous balloon dilatation and large profile catheter maintenance method is an effective therapeutic alternative for the treatment of most biliary strictures that complicate liver transplantation. It has a high success rate and it should be considered before surgery.
Keywords
Liver; Bile ducts; Bile ducts abnormalities; Intervention;
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1 Stratta RJ, Wood RP, Langnas AN, Hollins RR, Bruder KJ, Donovan JP, et al. Diagnosis and treatment of biliary tract complications after orthotopic liver transplantation. Surgery 1989;106:675-683
2 Mueller PR, Ferrucci JT Jr, Teplick SK, vanSonnenberg E, Haskin PH, Butch RJ, et al. Biliary stent endoprosthesis: analysis of complications in 113 patients. Radiology 1985;156:637-639   DOI
3 Rossi G, Lucianetti A, Gridelli B, Colledan M, Caccamo L, Albani AP, et al. Biliary tract complications in 224 orthotopic liver transplantations. Transplant Proc 1994;26:3626-3628
4 Jeffrey GP, Brind AM, Ormonde DG, Frazer CK, Ferguson J, Bell R, et al. Management of biliary tract complications following liver transplantation. Aust N Z J Surg 1999;69:717-722   DOI
5 McDonald ML, Farnell MB, Nagorney DM, Ilstrup DM, Kutch JM. Benign biliary strictures: repair and outcome with a contemporary approach. Surgery 1995;118:582-590   DOI   ScienceOn
6 Zajko AB, Campbell WL, Bron KM, Lecky JW, Iwatsuki S, Shaw BW Jr, et al. Cholangiography and interventional biliary radiology in adult liver transplantation. AJR Am J Roentgenol 1985;144:127-133   DOI
7 Culp WC, McCowan TC, Lieberman RP, Goertzen TC, LeVeen RF, Heffron TG. Biliary strictures in liver transplant recipients: treatment with metal stents. Radiology 1996;199:339-346   DOI
8 Petersen BD, Maxfield SR, Ivancev K, Uchida BT, Rabkin JM, Rosch J. Biliary strictures in hepatic transplantation: treatment with self-expanding Z stents. J Vasc Interv Radiol 1996;7:221- 228   DOI   ScienceOn
9 Jan YY, Chen MF. Percutaneous trans-hepatic cholangioscopic lithotomy for hepatolithiasis: long-term results. Gastrointest Endosc 1995;42:1-5   DOI   ScienceOn
10 Ponchon T, Genin G, Mitchell R, Henry L, Bory RM, Bodnar D, et al. Methods, indications, and results of percutaneous choledochoscopy. A series of 161 procedures. Ann Surg 1996;223:26-36   DOI
11 Gholson CF, Zibari G, McDonald JC. Endoscopic diagnosis and management of biliary complications following orthotopic liver transplantation. Dig Dis Sci 1996;41:1045-1053   DOI
12 Letourneau JG, Hunter DW, Ascher NL, Roberts JP, Payne WD, Thompson WM, et al. Biliary complications after liver transplantation in children. Radiology 1989;170:1095-1099   DOI
13 Greif F, Bronsther OL, Van Thiel DH, Casavilla A, Iwatsuki S, Tzakis A, et al. The incidence, timing, and management of biliary tract complications after orthotopic liver transplantation. Ann Surg 1994;219:40-45   DOI   ScienceOn
14 Pitt HA, Kaufman SL, Coleman J, White RI, Cameron JL. Benign postoperative biliary strictures. Operate or dilate? Ann Surg 1989;210:417-425   DOI   ScienceOn
15 Ferrucci JT Jr, Mueller PR, Harbin WP. Percutaneous transhepatic biliary drainage: technique, results, and applications. Radiology 1980;135:1-13   DOI
16 Sheng R, Zajko AB, Campbell WL, Abu-Elmagd K. Biliary strictures in hepatic transplants: prevalence and types in patients with primary sclerosing cholangitis vs those with other liver diseases. AJR Am J Roentgenol 1993;161:297-300   DOI   ScienceOn
17 Diamond NG, Lee SP, Niblett RL, Rees CR, Klintmalm GB. Metallic stents for the treatment of intrahepatic biliary strictures after liver transplantation. J Vasc Interv Radiol 1995;6:755-761   DOI   ScienceOn
18 Kuo PC, Lewis WD, Stokes K, Pleskow D, Simpson MA, Jenkins RL. A comparison of operation, endoscopic retrograde cholangiopancreatography, and percutaneous transhepatic cholangiography in biliary complications after hepatic transplantation. J Am Coll Surg 1994;179:177-181
19 Vorwerk D, Gunther RW, Klever P, Riesener KP, Schumpelick V. Angioplasty and stent placement for treatment of hepatic artery thrombosis following liver transplantation. J Vasc Interv Radiol 1994;5:309-311   DOI   ScienceOn
20 Citron SJ, Martin LG. Benign biliary strictures: treatment with percutaneous cholangioplasty. Radiology 1991;178:339-341   DOI
21 Bonnel DH LC, Lefebvre JF, Cornud FE. Placement of metallic stents for treatment of postoperative biliary strictures: long-term outcome in 25 patients. AJR Am J Roentgenol 1997;169:1517- 1522   DOI   ScienceOn
22 Ward EM, Kiely MJ, Maus TP, Wiesner RH, Krom RA. Hilar biliary strictures after liver transplantation: cholangiography and percutaneous treatment. Radiology 1990;177:259-263   DOI
23 Hwang MH, Tsai CC, Mo LR, Yang CT, Yeh YH, Yau MP, et al. Percutaneous choledochoscopic biliary tract stone removal: experience in 645 consecutive patients. Eur J Radiol 1993;17:184-190   DOI   ScienceOn
24 Bonnel DH, Liguory CE, Cornud FE, Lefebvre JF. Common bile duct and intrahepatic stones: results of transhepatic electrohydraulic lithotripsy in 50 patients. Radiology 1991;180:345-348   DOI
25 Jeng KS, Chiang HJ, Shih SC. Limitations of percutaneous transhepatic cholangioscopy in the removal of complicated biliary calculi. World J Surg 1989;13:603-610   DOI
26 Klein AS, Savader S, Burdick JF, Fair J, Mitchell M, Colombani P, et al. Reduction of morbidity and mortality from biliary complications after liver transplantation. Hepatology 1991;14:818-823   DOI
27 Sanchez-Urdazpal L, Gores GJ, Ward EM, Hay E, Buckel EG, Wiesner RH, et al. Clinical outcome of ischemic-type biliary complications after liver transplantation. Transplant Proc 1993;25:1107-1109
28 Rabkin JM, Orloff SL, Reed MH, Wheeler LJ, Corless CL, Benner KG, et al. Biliary tract complications of side-to-side without T tube versus end-to-end with or without T tube choledochocholedochostomy in liver transplant recipients. Transplantation 1998;65:193-199
29 Thethy S, Thomson B, Pleass H, Wigmore SJ, Madhavan K, Akyol M, et al. Management of biliary tract complications after orthotopic liver transplantation. Clin Transplant 2004;18:647-653   DOI   ScienceOn