Long-Term Outcome of Percutaneous Biliary Interventions for Biliary Anastomotic Stricture in Pediatric Patients after Living Donor Liver Transplantation with Roux-en-Y Hepaticojejunostomy

Imamine, Rinpei; Shibata, Toshiya; Yabuta, Minoru; Shinozuka, Ken; Kataoka, Masako; Isoda, Hiroyoshi; Yoshizawa, Atsushi; Üemoto, Shinji; Togashi, Kaori

doi:10.1016/j.jvir.2015.07.029

Cited by 23 publications

(19 citation statements)

References 29 publications

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“…The conclusive cure rate with IVR treatment in hepatic vein complications was 84.2%, in portal vein complications was 97.4%, in hepatic artery complications was 100%, and in biliary complications was 88.0% (Table ). Furthermore, it has been reported that the cure rate from IVR treatment for hepatic vein, portal vein, and biliary complications was greater than 85% (Table ) . In addition, in the present study, the graft survival rates in patients with and without post‐transplant vascular and biliary complications were 94.4% and 90.6%, respectively ( P = 0.522).…”

Section: Discussionsupporting

confidence: 48%

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Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

et al. 2018

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There are few long-term outcome reports for interventional radiology (IVR) treatments for vascular and biliary complications following pediatric living donor liver transplantation (LDLT). Herein, we presented our institution's experience and investigated the efficacy and issues of long-term outcome with IVR treatments. Between May 2001 and September 2016, 279 pediatric LDLTs were performed. The median age at LDLT was 1.4 years old, and the median observation period was 8.2 years. All the biliary reconstructions at LDLT were hepaticojejunostomy. The IVR treatments were selected as endovascular, radiological, or endoscopic interventions. Post-transplant hepatic vein, portal vein, hepatic artery, and biliary complications were present in 7.9%, 14.0%, 5.4%, and 18.3%, respectively. IVR treatment was the first treatment option in 81.8%, 94.9%, 46.7%, and 94.1%, respectively. The recurrence and cure rates following IVR treatment were 42.1%, 21.1%, 44.4%, and 34.0% and 84.2%, 97.4%, 100%, and 88.0%, respectively. The graft survival rates in patients with and without post-transplant vascular and biliary complications were 94.4% and 90.6%, respectively (P = 0.522). The IVR treatments for vascular and biliary complications following pediatric LDLT are the first choice option. Although the recurrence following IVR treatment is a major problem and it is necessary to carefully perform long-term follow-up, IVR treatments have good treatment outcomes.

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Section: Discussionsupporting

confidence: 48%

“…In recent years, with advances in endovascular and endoscopic instruments and techniques, reports of novel endovascular and endoscopic treatments for vascular and biliary complications have increased. Therefore, endovascular and endoscopic interventions may become the first‐line treatment, even in pediatric recipients .…”

Section: Discussionmentioning

confidence: 99%

Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

et al. 2018

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“…In our reported study [22] , clinical success, tube independent rate, and patency rate were evaluated. Clinical success is defined as resolution or marked improvement of clinical symptoms including fever, and improvement of laboratory findings, including the serum levels of AST, ALT, total bilirubin, direct bilirubin, r-GTP, and ALP.…”

Section: Resultsmentioning

confidence: 99%

Interventional radiology for post-transplant anastomotic complications

Shibata¹

2017

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How to cite this article: Shibata T. Interventional radiology for post-transplant anastomotic complications. Hepatoma Res 2017;3:221-7.The effectiveness of percutaneous interventional radiology for anastomotic stricture in hepatic vein, portal vein, and biliary tract after living donor liver transplantation (LDLT) is described. As a number of patients with LDLT are infants < 10-year-old in the study, the first treatment option was balloon dilatation, not primary stenting. However, stent placement was performed in patients with recurrent, repeated stenosis. Key words:Interventional radiology, living donor liver transplantation, balloon dilatation, stent placement ABSTRACTArticle history:

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“…Therefore, long-term PTBD is commonly accepted in the treatment of benign biliary strictures which are unable to be managed with endoscopic approach, especially in patients with bile duct stricture following liver transplantation. 12 As our patient underwent Roux-en-Y choledochojejunostomy and cholecystectomy due to severe inflammation and adhesion with suspicion for malignancy, the optimal treatment of postoperative biliary stricture at the anastomosis site was a percutaneous approach.…”

Section: Casementioning

confidence: 99%

Biliary Anastomotic Stricture after Surgical Management of Mirizzi Syndrome: Treated with Long-term Percutaneous Transhepatic Biliary Drainage

Ryu¹,

Kim²,

Jeon³

et al. 2018

Korean J Pancreas Biliary Tract

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Mirizzi syndrome (MS) is a rare complication of cholecystolithiasis that is characterized by obstruction of the common hepatic duct due to mechanical compression by impacted stones in the neck of the gallbladder or the cystic duct. Treatment of MS is surgical, and operative procedure would vary depending on its classification type. Biliary stricture after surgical treatment of MS is an unusual complication and endoscopic approach is not possible for patients who have undergone bilioenteric anastomosis. We report a case of a 60-year-old patient with biliary anastomotic stricture after surgical management of MS who was successfully treated with long-term percutaneous transhepatic biliary drainage. Korean J Pancreas Biliary Tract 2018;23(3):134-138

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Long-Term Outcome of Percutaneous Biliary Interventions for Biliary Anastomotic Stricture in Pediatric Patients after Living Donor Liver Transplantation with Roux-en-Y Hepaticojejunostomy

Abstract: PTBD followed by balloon dilation and internal drainage may be an effective treatment for anastomotic biliary stricture after pediatric LDLT with RYHJ.

Cited by 23 publications

References 29 publications

Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

Interventional radiology treatment for vascular and biliary complications following pediatric living donor liver transplantation - a retrospective study

Interventional radiology for post-transplant anastomotic complications

Biliary Anastomotic Stricture after Surgical Management of Mirizzi Syndrome: Treated with Long-term Percutaneous Transhepatic Biliary Drainage

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