Duct-to-Duct Biliary Reconstruction Without a Stent in Pediatric Living-Donor Liver Transplantation

Haberal, Mehmet; Karakayalı, H.; Atiq, Atia; Sevmiş, Ş.; Moray, Gökhan; Özçay, Figen; Boyvat, Fatih

doi:10.1016/j.transproceed.2011.01.009

Cited by 18 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, Sakamoto et al and Tanaka et al reported RY hepaticojejunostomy to be the preferred method because there was a higher incidence of biliary strictures in a DD reconstruction group. On the other hand, the evaluation of DD biliary reconstruction in pediatric LDLT has been reported in a relatively limited number of studies . The incidence of posttransplant strictures in DD patients ranged from 9.3% to 36.8% in those previous reports.…”

Section: Discussionmentioning

confidence: 95%

“…Duct‐to‐duct (DD) choledochocholedochostomy for biliary reconstruction is currently accepted as a standard method for adult recipients . DD reconstruction has several advantages over Roux‐en‐Y (RY) reconstruction: it is simpler and faster to perform without intestinal manipulation, it helps to maintain the physiological bilioenteric continuity by preserving the function of the sphincter of Oddi, it leads to an earlier start of oral intake, and it facilitates the management of endoscopic treatment in cases with postoperative biliary complications . Furthermore, dehiscence of an RY anastomosis can be fatal because it may be associated with septic peritonitis.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Single-center experience and long-term outcomes of duct-to-duct biliary reconstruction in infantile living donor liver transplantation

et al. 2014

View full text Add to dashboard Cite

The indications for duct-to-duct (DD) biliary reconstruction in living donor liver transplantation (LDLT) for small children are still controversial. In this study, the feasibility of DD biliary reconstruction versus Roux-en-Y (RY) biliary reconstruction was investigated in terms of long-term outcomes. Fifty-six children who consecutively underwent LDLT with a weight less than or equal to 10.0 kg were enrolled. Biliary reconstruction was performed in a DD fashion for 20 patients and in an RY fashion for 36 patients. During a minimum follow-up of 2 years, the incidence of biliary strictures was 5.0% in the DD group and 11.1% in the RY group. Cholangitis during the posttransplant period was observed in the RY group only. There were no deaths related to biliary problems. This study shows that DD reconstruction in LDLT for small children (weighing 10.0 kg or less) is a feasible option for biliary reconstruction.

show abstract

Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

Single-center experience and long-term outcomes of duct-to-duct biliary reconstruction in infantile living donor liver transplantation

et al. 2014

View full text Add to dashboard Cite

show abstract

“…This was possible for only 9.8% of the patients in our series. Some reports have identified a D‐D anastomosis as a risk factor for BCs, but others have reported successful outcomes with D‐D reconstruction in pediatric LDLT …”

Section: Discussionmentioning

confidence: 99%

Diagnosis and management of biliary complications in pediatric living donor liver transplant recipients

et al. 2014

View full text Add to dashboard Cite

The incidence of biliary complications (BCs) after living donor liver transplantation (LDLT) can reach 40%. Published data on the pediatric population are limited, and treatment protocols vary. Our aim was to describe the clinical scenario for BCs and treatment approaches after LDLT. Between October 1995 and December 2012, 489 pediatric LDLT procedures were performed. BCs developed in 71 patients (14.5%). Biliary strictures (BSs) developed in 45 (9.2%) patients, and bile leaks (BLs) developed in 33 patients (6.7%). The BL diagnosis was clinical in all cases, and 69.7% of the patients underwent surgery. Nearly half of the BS cases had clinical features or suggestive ultrasound findings. Liver biopsy findings suggested BSs in 51.7%. Percutaneous transhepatic cholangiography was performed in 95.6% of the BS patients. The success rate was 77% [mean number of percutaneous biliary interventions (PBIs) 5 3.9 6 1.98, median drainage time 5 8 months]. In conclusion, BL patients can be managed with conservative therapy, even though most of these patients will ultimately be treated with surgery. Diagnosing a BS requires a high degree of clinical suspicion because the available resources for its identification can fail in up to 50% of cases. A higher number of PBIs and the use of a drainage catheter for a longer time may be required to achieve better results with this technique. Liver Transpl 20:882-892,

show abstract

“…Thus, BC have been treated either surgically or by percutaneous access . However, there are surgical techniques of duct‐to‐duct‐reconstruction, especially after LDLT, allowing for transpapillary endoscopic access to treat BC . In adolescents, full‐organ transplants become anatomically possible and direct choledocho‐choledochostomies as biliary anastomoses are more common, again facilitating endoscopic approaches .…”

Section: Introductionmentioning

confidence: 99%

Endoscopic treatment of pediatric post‐transplant biliary complications is safe and effective

Dechêne

Kodde

Kathemann

et al. 2015

Digestive Endoscopy

View full text Add to dashboard Cite

show abstract

Duct-to-Duct Biliary Reconstruction Without a Stent in Pediatric Living-Donor Liver Transplantation

Cited by 18 publications

References 21 publications

Single-center experience and long-term outcomes of duct-to-duct biliary reconstruction in infantile living donor liver transplantation

Single-center experience and long-term outcomes of duct-to-duct biliary reconstruction in infantile living donor liver transplantation

Diagnosis and management of biliary complications in pediatric living donor liver transplant recipients

Endoscopic treatment of pediatric post‐transplant biliary complications is safe and effective

Contact Info

Product

Resources

About