Endoscopic treatment of biliary complications after right‐lobe living‐donor liver transplantation with duct‐to‐duct biliary anastomosis
Background/Purpose The aims of this study were to characterize the features of the biliary complications that occur after right‐lobe living‐donor liver transplantation (RL‐LDLT) with duct‐to‐duct biliary anastomosis, and to evaluate the efficacy of treating biliary complications endoscopically. Meth...
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| Veröffentlicht in: | Journal of Hepato‐Biliary‐Pancreatic Surgery 2006-11, Vol.13 (6), p.502-510 |
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| container_title | Journal of Hepato‐Biliary‐Pancreatic Surgery |
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| creator | Yazumi, Shujiro Yoshimoto, Takanobu Hisatsune, Hiroshi Hasegawa, Kazunori Kida, Masaya Tada, Shinsuke Uenoyama, Yoshito Yamauchi, Junichi Shio, Seiji Kasahara, Mureo Ogawa, Kohei Egawa, Hiroto Tanaka, Koichi Chiba, Tsutomu |
| description | Background/Purpose
The aims of this study were to characterize the features of the biliary complications that occur after right‐lobe living‐donor liver transplantation (RL‐LDLT) with duct‐to‐duct biliary anastomosis, and to evaluate the efficacy of treating biliary complications endoscopically.
Methods
The records of 273 consecutive patients who underwent RL‐LDLT with duct‐to‐duct biliary anastomosis from July 1999 through July 2005 at Kyoto University Hospital were reviewed to determine the overall incidence of postoperative biliary complications and the outcome of endoscopic repair of those complications.
Results
Biliary complications occurred in 93 (34.1%) of the patients. These complications were: 80 biliary strictures (75 anastomotic and 5 nonanastomotic) and 16 biliary leakages (5 patients with biliary leakage also had a biliary stricture); most (72%) of the anastomotic strictures were complex (i.e., fork‐shaped or trident‐shaped). The strictures and leakages were repaired by the endoscopic placement of multiple inside stents above the sphincter of Oddi, and by nasobiliary drainage, respectively. The procedure was successful in repairing 51 (68.0%) of the anastomotic strictures and 8 (50.0%) of the biliary leakages.
Conclusions
Endoscopic stenting of the bile ducts is efficacious in treating biliary complications related to RL‐LDLT with duct‐to‐duct biliary anastomosis and the stenting should be attempted before surgical revision of strictures and leakages. |
| doi_str_mv | 10.1007/s00534-005-1084-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68205107</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68205107</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4008-b9b37c18a90130c466ceb7404237c88b542e621b90e4390724296c421de23e4f3</originalsourceid><addsrcrecordid>eNqFkcFu1DAQhi1ERZfCA3BBPnELzNhe2zlCVSioUjnA2XIcpzVK4mB7qfbGG9Bn5Elw2BU9chl7pO__Z-yfkBcIrxFAvckAWy6aWhsELZr9I7JBLXUjW80ekw20QjSIUp6Spzl_A0C11eoJOUWFvBWMb8ivi7mP2cUlOFqSt2Xyc6FxoF0Yg0176uK0jMHZEuKcqR2KTzSFm9vy--f9GDtPx_AjzDe16-Mc09pWoiQ752W0c_krpHeh3NJ-51ZViStc7_9m2NnmEqeYQ35GTgY7Zv_8eJ6Rr-8vvpxfNlfXHz6ev71qnADQTdd2XDnUtgXk4ISUzndKQH2Tclp3W8G8ZNi14AVvQTHBWukEw94z7sXAz8irg--S4vedz8VMITs_1pV93GUjNYMtgqogHkCXYs7JD2ZJYapbGwSzpmAOKZhazZqC2VfNy6P5rpt8_6A4fnsF1AG4C6Pf_9_RfLp89xkZ0_wPv3Kazg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68205107</pqid></control><display><type>article</type><title>Endoscopic treatment of biliary complications after right‐lobe living‐donor liver transplantation with duct‐to‐duct biliary anastomosis</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Yazumi, Shujiro ; Yoshimoto, Takanobu ; Hisatsune, Hiroshi ; Hasegawa, Kazunori ; Kida, Masaya ; Tada, Shinsuke ; Uenoyama, Yoshito ; Yamauchi, Junichi ; Shio, Seiji ; Kasahara, Mureo ; Ogawa, Kohei ; Egawa, Hiroto ; Tanaka, Koichi ; Chiba, Tsutomu</creator><creatorcontrib>Yazumi, Shujiro ; Yoshimoto, Takanobu ; Hisatsune, Hiroshi ; Hasegawa, Kazunori ; Kida, Masaya ; Tada, Shinsuke ; Uenoyama, Yoshito ; Yamauchi, Junichi ; Shio, Seiji ; Kasahara, Mureo ; Ogawa, Kohei ; Egawa, Hiroto ; Tanaka, Koichi ; Chiba, Tsutomu</creatorcontrib><description>Background/Purpose
The aims of this study were to characterize the features of the biliary complications that occur after right‐lobe living‐donor liver transplantation (RL‐LDLT) with duct‐to‐duct biliary anastomosis, and to evaluate the efficacy of treating biliary complications endoscopically.
Methods
The records of 273 consecutive patients who underwent RL‐LDLT with duct‐to‐duct biliary anastomosis from July 1999 through July 2005 at Kyoto University Hospital were reviewed to determine the overall incidence of postoperative biliary complications and the outcome of endoscopic repair of those complications.
Results
Biliary complications occurred in 93 (34.1%) of the patients. These complications were: 80 biliary strictures (75 anastomotic and 5 nonanastomotic) and 16 biliary leakages (5 patients with biliary leakage also had a biliary stricture); most (72%) of the anastomotic strictures were complex (i.e., fork‐shaped or trident‐shaped). The strictures and leakages were repaired by the endoscopic placement of multiple inside stents above the sphincter of Oddi, and by nasobiliary drainage, respectively. The procedure was successful in repairing 51 (68.0%) of the anastomotic strictures and 8 (50.0%) of the biliary leakages.
Conclusions
Endoscopic stenting of the bile ducts is efficacious in treating biliary complications related to RL‐LDLT with duct‐to‐duct biliary anastomosis and the stenting should be attempted before surgical revision of strictures and leakages.</description><identifier>ISSN: 0944-1166</identifier><identifier>EISSN: 1868-6982</identifier><identifier>EISSN: 1436-0691</identifier><identifier>DOI: 10.1007/s00534-005-1084-y</identifier><identifier>PMID: 17139423</identifier><language>eng</language><publisher>Japan</publisher><subject>Adolescent ; Adult ; Aged ; Algorithms ; Anastomosis, Surgical ; Bile Ducts - surgery ; biliary stricture ; Biliary Tract Diseases - epidemiology ; Biliary Tract Diseases - etiology ; Biliary Tract Diseases - surgery ; duct‐to‐duct biliary anastomosis ; endoscopic stenting ; Endoscopy ; Female ; Humans ; Incidence ; Liver Transplantation - adverse effects ; Living Donors ; living‐donor liver transplantation ; Male ; Middle Aged ; Stents ; Treatment Outcome</subject><ispartof>Journal of Hepato‐Biliary‐Pancreatic Surgery, 2006-11, Vol.13 (6), p.502-510</ispartof><rights>2006 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4008-b9b37c18a90130c466ceb7404237c88b542e621b90e4390724296c421de23e4f3</citedby><cites>FETCH-LOGICAL-c4008-b9b37c18a90130c466ceb7404237c88b542e621b90e4390724296c421de23e4f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs00534-005-1084-y$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs00534-005-1084-y$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17139423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yazumi, Shujiro</creatorcontrib><creatorcontrib>Yoshimoto, Takanobu</creatorcontrib><creatorcontrib>Hisatsune, Hiroshi</creatorcontrib><creatorcontrib>Hasegawa, Kazunori</creatorcontrib><creatorcontrib>Kida, Masaya</creatorcontrib><creatorcontrib>Tada, Shinsuke</creatorcontrib><creatorcontrib>Uenoyama, Yoshito</creatorcontrib><creatorcontrib>Yamauchi, Junichi</creatorcontrib><creatorcontrib>Shio, Seiji</creatorcontrib><creatorcontrib>Kasahara, Mureo</creatorcontrib><creatorcontrib>Ogawa, Kohei</creatorcontrib><creatorcontrib>Egawa, Hiroto</creatorcontrib><creatorcontrib>Tanaka, Koichi</creatorcontrib><creatorcontrib>Chiba, Tsutomu</creatorcontrib><title>Endoscopic treatment of biliary complications after right‐lobe living‐donor liver transplantation with duct‐to‐duct biliary anastomosis</title><title>Journal of Hepato‐Biliary‐Pancreatic Surgery</title><addtitle>J Hepatobiliary Pancreat Surg</addtitle><description>Background/Purpose
The aims of this study were to characterize the features of the biliary complications that occur after right‐lobe living‐donor liver transplantation (RL‐LDLT) with duct‐to‐duct biliary anastomosis, and to evaluate the efficacy of treating biliary complications endoscopically.
Methods
The records of 273 consecutive patients who underwent RL‐LDLT with duct‐to‐duct biliary anastomosis from July 1999 through July 2005 at Kyoto University Hospital were reviewed to determine the overall incidence of postoperative biliary complications and the outcome of endoscopic repair of those complications.
Results
Biliary complications occurred in 93 (34.1%) of the patients. These complications were: 80 biliary strictures (75 anastomotic and 5 nonanastomotic) and 16 biliary leakages (5 patients with biliary leakage also had a biliary stricture); most (72%) of the anastomotic strictures were complex (i.e., fork‐shaped or trident‐shaped). The strictures and leakages were repaired by the endoscopic placement of multiple inside stents above the sphincter of Oddi, and by nasobiliary drainage, respectively. The procedure was successful in repairing 51 (68.0%) of the anastomotic strictures and 8 (50.0%) of the biliary leakages.
Conclusions
Endoscopic stenting of the bile ducts is efficacious in treating biliary complications related to RL‐LDLT with duct‐to‐duct biliary anastomosis and the stenting should be attempted before surgical revision of strictures and leakages.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Algorithms</subject><subject>Anastomosis, Surgical</subject><subject>Bile Ducts - surgery</subject><subject>biliary stricture</subject><subject>Biliary Tract Diseases - epidemiology</subject><subject>Biliary Tract Diseases - etiology</subject><subject>Biliary Tract Diseases - surgery</subject><subject>duct‐to‐duct biliary anastomosis</subject><subject>endoscopic stenting</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Liver Transplantation - adverse effects</subject><subject>Living Donors</subject><subject>living‐donor liver transplantation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>0944-1166</issn><issn>1868-6982</issn><issn>1436-0691</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAQhi1ERZfCA3BBPnELzNhe2zlCVSioUjnA2XIcpzVK4mB7qfbGG9Bn5Elw2BU9chl7pO__Z-yfkBcIrxFAvckAWy6aWhsELZr9I7JBLXUjW80ekw20QjSIUp6Spzl_A0C11eoJOUWFvBWMb8ivi7mP2cUlOFqSt2Xyc6FxoF0Yg0176uK0jMHZEuKcqR2KTzSFm9vy--f9GDtPx_AjzDe16-Mc09pWoiQ752W0c_krpHeh3NJ-51ZViStc7_9m2NnmEqeYQ35GTgY7Zv_8eJ6Rr-8vvpxfNlfXHz6ev71qnADQTdd2XDnUtgXk4ISUzndKQH2Tclp3W8G8ZNi14AVvQTHBWukEw94z7sXAz8irg--S4vedz8VMITs_1pV93GUjNYMtgqogHkCXYs7JD2ZJYapbGwSzpmAOKZhazZqC2VfNy6P5rpt8_6A4fnsF1AG4C6Pf_9_RfLp89xkZ0_wPv3Kazg</recordid><startdate>200611</startdate><enddate>200611</enddate><creator>Yazumi, Shujiro</creator><creator>Yoshimoto, Takanobu</creator><creator>Hisatsune, Hiroshi</creator><creator>Hasegawa, Kazunori</creator><creator>Kida, Masaya</creator><creator>Tada, Shinsuke</creator><creator>Uenoyama, Yoshito</creator><creator>Yamauchi, Junichi</creator><creator>Shio, Seiji</creator><creator>Kasahara, Mureo</creator><creator>Ogawa, Kohei</creator><creator>Egawa, Hiroto</creator><creator>Tanaka, Koichi</creator><creator>Chiba, Tsutomu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200611</creationdate><title>Endoscopic treatment of biliary complications after right‐lobe living‐donor liver transplantation with duct‐to‐duct biliary anastomosis</title><author>Yazumi, Shujiro ; Yoshimoto, Takanobu ; Hisatsune, Hiroshi ; Hasegawa, Kazunori ; Kida, Masaya ; Tada, Shinsuke ; Uenoyama, Yoshito ; Yamauchi, Junichi ; Shio, Seiji ; Kasahara, Mureo ; Ogawa, Kohei ; Egawa, Hiroto ; Tanaka, Koichi ; Chiba, Tsutomu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4008-b9b37c18a90130c466ceb7404237c88b542e621b90e4390724296c421de23e4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Algorithms</topic><topic>Anastomosis, Surgical</topic><topic>Bile Ducts - surgery</topic><topic>biliary stricture</topic><topic>Biliary Tract Diseases - epidemiology</topic><topic>Biliary Tract Diseases - etiology</topic><topic>Biliary Tract Diseases - surgery</topic><topic>duct‐to‐duct biliary anastomosis</topic><topic>endoscopic stenting</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Liver Transplantation - adverse effects</topic><topic>Living Donors</topic><topic>living‐donor liver transplantation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yazumi, Shujiro</creatorcontrib><creatorcontrib>Yoshimoto, Takanobu</creatorcontrib><creatorcontrib>Hisatsune, Hiroshi</creatorcontrib><creatorcontrib>Hasegawa, Kazunori</creatorcontrib><creatorcontrib>Kida, Masaya</creatorcontrib><creatorcontrib>Tada, Shinsuke</creatorcontrib><creatorcontrib>Uenoyama, Yoshito</creatorcontrib><creatorcontrib>Yamauchi, Junichi</creatorcontrib><creatorcontrib>Shio, Seiji</creatorcontrib><creatorcontrib>Kasahara, Mureo</creatorcontrib><creatorcontrib>Ogawa, Kohei</creatorcontrib><creatorcontrib>Egawa, Hiroto</creatorcontrib><creatorcontrib>Tanaka, Koichi</creatorcontrib><creatorcontrib>Chiba, Tsutomu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Hepato‐Biliary‐Pancreatic Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yazumi, Shujiro</au><au>Yoshimoto, Takanobu</au><au>Hisatsune, Hiroshi</au><au>Hasegawa, Kazunori</au><au>Kida, Masaya</au><au>Tada, Shinsuke</au><au>Uenoyama, Yoshito</au><au>Yamauchi, Junichi</au><au>Shio, Seiji</au><au>Kasahara, Mureo</au><au>Ogawa, Kohei</au><au>Egawa, Hiroto</au><au>Tanaka, Koichi</au><au>Chiba, Tsutomu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic treatment of biliary complications after right‐lobe living‐donor liver transplantation with duct‐to‐duct biliary anastomosis</atitle><jtitle>Journal of Hepato‐Biliary‐Pancreatic Surgery</jtitle><addtitle>J Hepatobiliary Pancreat Surg</addtitle><date>2006-11</date><risdate>2006</risdate><volume>13</volume><issue>6</issue><spage>502</spage><epage>510</epage><pages>502-510</pages><issn>0944-1166</issn><eissn>1868-6982</eissn><eissn>1436-0691</eissn><abstract>Background/Purpose
The aims of this study were to characterize the features of the biliary complications that occur after right‐lobe living‐donor liver transplantation (RL‐LDLT) with duct‐to‐duct biliary anastomosis, and to evaluate the efficacy of treating biliary complications endoscopically.
Methods
The records of 273 consecutive patients who underwent RL‐LDLT with duct‐to‐duct biliary anastomosis from July 1999 through July 2005 at Kyoto University Hospital were reviewed to determine the overall incidence of postoperative biliary complications and the outcome of endoscopic repair of those complications.
Results
Biliary complications occurred in 93 (34.1%) of the patients. These complications were: 80 biliary strictures (75 anastomotic and 5 nonanastomotic) and 16 biliary leakages (5 patients with biliary leakage also had a biliary stricture); most (72%) of the anastomotic strictures were complex (i.e., fork‐shaped or trident‐shaped). The strictures and leakages were repaired by the endoscopic placement of multiple inside stents above the sphincter of Oddi, and by nasobiliary drainage, respectively. The procedure was successful in repairing 51 (68.0%) of the anastomotic strictures and 8 (50.0%) of the biliary leakages.
Conclusions
Endoscopic stenting of the bile ducts is efficacious in treating biliary complications related to RL‐LDLT with duct‐to‐duct biliary anastomosis and the stenting should be attempted before surgical revision of strictures and leakages.</abstract><cop>Japan</cop><pmid>17139423</pmid><doi>10.1007/s00534-005-1084-y</doi><tpages>9</tpages></addata></record> |
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| identifier | ISSN: 0944-1166 |
| ispartof | Journal of Hepato‐Biliary‐Pancreatic Surgery, 2006-11, Vol.13 (6), p.502-510 |
| issn | 0944-1166 1868-6982 1436-0691 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Aged Algorithms Anastomosis, Surgical Bile Ducts - surgery biliary stricture Biliary Tract Diseases - epidemiology Biliary Tract Diseases - etiology Biliary Tract Diseases - surgery duct‐to‐duct biliary anastomosis endoscopic stenting Endoscopy Female Humans Incidence Liver Transplantation - adverse effects Living Donors living‐donor liver transplantation Male Middle Aged Stents Treatment Outcome |
| title | Endoscopic treatment of biliary complications after right‐lobe living‐donor liver transplantation with duct‐to‐duct biliary anastomosis |
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