Saratov JOURNAL of Medical and Scientific Research

Biliary anastomotic strictures after liver transplantation

Year: 2019, volume 15 Issue: №2 Pages: 296-301
Heading: Surgery Article type: Review
Authors: Popov M.V., Voskanyan S.E., Dunaev A.P., Bashkov A.N., Maltseva A.P.
Organization: Moscow City Oncologic Hospital N. 62, Imaging Department, State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency

The literature review presents the data on a current state of the problem of anastomotic strictures of the bile ducts in patients after living donor liver transplantation, called the «Achilles» heel» of transplantology. The data on the frequency and timing of the development of strictures, their causes and risk factors are given. The role of imaging methods in the diagnosis of this group of complications is shown. Methods for treating biliary post-transplantation strictures are described: antegrade, retrograde, and open. The themes of the prospects of percutaneous and endoscopic techniques and the choice of stricture treatment methods are also touched upon.

1 Hsieh T, Mekeel K, Crowell M, et al. Endoscopic treatment of anastomotic biliary strictures after living donor liver transplantation: outcomes after maximal stent therapy. Gastrointest Endosc 2013; 77 (1): 47–54. DOI: 10.1016 / j. gie. 2012.08.034
2 Chang J, Lee I, Choi M, Han S. Current diagnosis and treatment of benign biliary strictures after living donor liver transplantation. World J Gastroenterol 2016; 22 (4): 1593 DOI: 10.3748 / wjg. v22. i4.1593
3 Shin M, Joh J. Advances in endoscopic management of biliary complications after living donor liver transplantation: Comprehensive review of the literature. World J Gastroenterol 2016; 22 (27): 6173 DOI: 10.3748 / wjg. v22. i27.6173
4 Voskanyan S, Artemyev A, Sushkov A, et al. Vascular reconstruction and outcomes of 220 adult-to-adult right lobe living donor liver transplantations. Almanac of Clinical Medicine 2018; 46 (6): 598–608. DOI: 10.18786 / 2072-0505-2018-46-6-598-608
5 Forrest EA, Reiling J, Lipka G, Fawcett J. Risk factors and clinical indicators for the development of biliary strictures post liver transplant: Signifcance of bilirubin. World J Transplant 2017; 7 (6): 349–58. DOI: 10.55 / wjt. v7. i6.349
6 Saraireh H, Sundaram L, John B. Biliary Strictures after Liver Transplantation with Grafts from Donors after Cardiac Death: Narrowing Down the Etiologies. Dig Dis Sci 2019 Doi: 10.1007 / s10620-019-05589-4
7 Wang S, Huang Z, Chen X. Biliary complications after living donor liver transplantation. Liver Transplantation 2011; 17 (10): 1127–36. DOI: 10.1002 / lt. 22381
8 Chang J, Lee I, Choi J, et al. Biliary Stricture after Adult Right-Lobe Living-Donor Liver Transplantation with Duct-to-Duct Anastomosis: Long-Term Outcome and Its Related Factors after Endoscopic Treatment. Gut Liver 2010; 4 (2): 226–33. DOI: 10.5009 / gnl. 2010.4.2.226.

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