Prophylaxis and management of ischemic-type biliary lesion after orthotopic liver transplantation
To investigate the cause, prophylaxis, and management of ischemic-type biliary lesion (ITBL) after orthotopic liver transplantation. The clinical data of 212 operations of orthotopic liver transplantation on 209 patients, 184 males and 25 females, aged 44.5 (18-69), including 3 patients undergoing s...
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| Veröffentlicht in: | Zhong hua yi xue za zhi 2006-05, Vol.86 (18), p.1236-1239 |
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| creator | Dong, Jia-hong Zhang, Lei-da Wang, Shu-guang Bie, Ping Yang, Zhan-yu |
| description | To investigate the cause, prophylaxis, and management of ischemic-type biliary lesion (ITBL) after orthotopic liver transplantation.
The clinical data of 212 operations of orthotopic liver transplantation on 209 patients, 184 males and 25 females, aged 44.5 (18-69), including 3 patients undergoing secondary liver transplantation, between February 1999 and August 2004 were reviewed retrospectively.
ITBL occurred in 14 patients (6.6%), among whom 5 had biliary lesions of hepatic bifurcation, 3 had intrahepatic biliary lesions, and 6 had multiple extrahepatic and intrahepatic biliary lesions. The incidence rate of ITBL among the recipients of liver in cold storage for more than 10 hours, with donor-recipient ABO blood type incompatibility, with postoperative hepatic arterial lesions, and with hepatitis B related hepatic failure as the primary disease were 9.8% (10/102), 22.2% (2/9), 40% (2/5), and 14.6% (7/48) respectively. The 14 patients with ITBL were managed with conservative treatment, endoscopy, Roux-en-Y |
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The clinical data of 212 operations of orthotopic liver transplantation on 209 patients, 184 males and 25 females, aged 44.5 (18-69), including 3 patients undergoing secondary liver transplantation, between February 1999 and August 2004 were reviewed retrospectively.
ITBL occurred in 14 patients (6.6%), among whom 5 had biliary lesions of hepatic bifurcation, 3 had intrahepatic biliary lesions, and 6 had multiple extrahepatic and intrahepatic biliary lesions. The incidence rate of ITBL among the recipients of liver in cold storage for more than 10 hours, with donor-recipient ABO blood type incompatibility, with postoperative hepatic arterial lesions, and with hepatitis B related hepatic failure as the primary disease were 9.8% (10/102), 22.2% (2/9), 40% (2/5), and 14.6% (7/48) respectively. The 14 patients with ITBL were managed with conservative treatment, endoscopy, Roux-en-Y</description><identifier>ISSN: 0376-2491</identifier><identifier>PMID: 16796879</identifier><language>chi</language><publisher>China</publisher><subject>Biliary Tract Diseases - etiology ; Biliary Tract Diseases - prevention & control ; Female ; Follow-Up Studies ; Humans ; Ischemia - etiology ; Ischemia - prevention & control ; Liver Transplantation - adverse effects ; Liver Transplantation - methods ; Male ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Retrospective Studies</subject><ispartof>Zhong hua yi xue za zhi, 2006-05, Vol.86 (18), p.1236-1239</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16796879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dong, Jia-hong</creatorcontrib><creatorcontrib>Zhang, Lei-da</creatorcontrib><creatorcontrib>Wang, Shu-guang</creatorcontrib><creatorcontrib>Bie, Ping</creatorcontrib><creatorcontrib>Yang, Zhan-yu</creatorcontrib><title>Prophylaxis and management of ischemic-type biliary lesion after orthotopic liver transplantation</title><title>Zhong hua yi xue za zhi</title><addtitle>Zhonghua Yi Xue Za Zhi</addtitle><description>To investigate the cause, prophylaxis, and management of ischemic-type biliary lesion (ITBL) after orthotopic liver transplantation.
The clinical data of 212 operations of orthotopic liver transplantation on 209 patients, 184 males and 25 females, aged 44.5 (18-69), including 3 patients undergoing secondary liver transplantation, between February 1999 and August 2004 were reviewed retrospectively.
ITBL occurred in 14 patients (6.6%), among whom 5 had biliary lesions of hepatic bifurcation, 3 had intrahepatic biliary lesions, and 6 had multiple extrahepatic and intrahepatic biliary lesions. The incidence rate of ITBL among the recipients of liver in cold storage for more than 10 hours, with donor-recipient ABO blood type incompatibility, with postoperative hepatic arterial lesions, and with hepatitis B related hepatic failure as the primary disease were 9.8% (10/102), 22.2% (2/9), 40% (2/5), and 14.6% (7/48) respectively. The 14 patients with ITBL were managed with conservative treatment, endoscopy, Roux-en-Y</description><subject>Biliary Tract Diseases - etiology</subject><subject>Biliary Tract Diseases - prevention & control</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ischemia - etiology</subject><subject>Ischemia - prevention & control</subject><subject>Liver Transplantation - adverse effects</subject><subject>Liver Transplantation - methods</subject><subject>Male</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><issn>0376-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LAzEYhHNQbKn9C5KTt4V8bJLNUYpfUKgHPS9vdhMbyG5ikor99y5YTwPDwzAzV2hNuJINazVdoW0p3pBWcc0IozdoRaXSslN6jeAtx3Q8B_jxBcM84glm-LSTnSuODvsyHO3kh6aek8XGBw_5jIMtPs4YXLUZx1yPscbkBxz892LUDHNJAeYKdcFu0bWDUOz2ohv08fT4vntp9ofn193DvkmUtbWhRI52MIo4QwegmvLWaqeACS4pM9YJTTgzXHEBruNGEDkoMK4VRI-dEXyD7v9yU45fJ1tqPy3tbViK2HgqveyEUpSoBby7gCcz2bFP2U_Lqv7_FP4LE2tgFg</recordid><startdate>20060516</startdate><enddate>20060516</enddate><creator>Dong, Jia-hong</creator><creator>Zhang, Lei-da</creator><creator>Wang, Shu-guang</creator><creator>Bie, Ping</creator><creator>Yang, Zhan-yu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20060516</creationdate><title>Prophylaxis and management of ischemic-type biliary lesion after orthotopic liver transplantation</title><author>Dong, Jia-hong ; Zhang, Lei-da ; Wang, Shu-guang ; Bie, Ping ; Yang, Zhan-yu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p124t-106decb70fb1ca19134e9f7a253612bef59032b3735af83b506c7abf4509d8b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>chi</language><creationdate>2006</creationdate><topic>Biliary Tract Diseases - etiology</topic><topic>Biliary Tract Diseases - prevention & control</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ischemia - etiology</topic><topic>Ischemia - prevention & control</topic><topic>Liver Transplantation - adverse effects</topic><topic>Liver Transplantation - methods</topic><topic>Male</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><toplevel>online_resources</toplevel><creatorcontrib>Dong, Jia-hong</creatorcontrib><creatorcontrib>Zhang, Lei-da</creatorcontrib><creatorcontrib>Wang, Shu-guang</creatorcontrib><creatorcontrib>Bie, Ping</creatorcontrib><creatorcontrib>Yang, Zhan-yu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Zhong hua yi xue za zhi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dong, Jia-hong</au><au>Zhang, Lei-da</au><au>Wang, Shu-guang</au><au>Bie, Ping</au><au>Yang, Zhan-yu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prophylaxis and management of ischemic-type biliary lesion after orthotopic liver transplantation</atitle><jtitle>Zhong hua yi xue za zhi</jtitle><addtitle>Zhonghua Yi Xue Za Zhi</addtitle><date>2006-05-16</date><risdate>2006</risdate><volume>86</volume><issue>18</issue><spage>1236</spage><epage>1239</epage><pages>1236-1239</pages><issn>0376-2491</issn><abstract>To investigate the cause, prophylaxis, and management of ischemic-type biliary lesion (ITBL) after orthotopic liver transplantation.
The clinical data of 212 operations of orthotopic liver transplantation on 209 patients, 184 males and 25 females, aged 44.5 (18-69), including 3 patients undergoing secondary liver transplantation, between February 1999 and August 2004 were reviewed retrospectively.
ITBL occurred in 14 patients (6.6%), among whom 5 had biliary lesions of hepatic bifurcation, 3 had intrahepatic biliary lesions, and 6 had multiple extrahepatic and intrahepatic biliary lesions. The incidence rate of ITBL among the recipients of liver in cold storage for more than 10 hours, with donor-recipient ABO blood type incompatibility, with postoperative hepatic arterial lesions, and with hepatitis B related hepatic failure as the primary disease were 9.8% (10/102), 22.2% (2/9), 40% (2/5), and 14.6% (7/48) respectively. The 14 patients with ITBL were managed with conservative treatment, endoscopy, Roux-en-Y</abstract><cop>China</cop><pmid>16796879</pmid><tpages>4</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Biliary Tract Diseases - etiology Biliary Tract Diseases - prevention & control Female Follow-Up Studies Humans Ischemia - etiology Ischemia - prevention & control Liver Transplantation - adverse effects Liver Transplantation - methods Male Postoperative Complications - etiology Postoperative Complications - prevention & control Retrospective Studies |
| title | Prophylaxis and management of ischemic-type biliary lesion after orthotopic liver transplantation |
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