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Article: Prevention and management of biliary anastomotic stricture in right-lobe living-donor liver transplantation

TitlePrevention and management of biliary anastomotic stricture in right-lobe living-donor liver transplantation
Authors
KeywordsBile duct stricture
Biliary reconstruction
Endoscopic retrograde cholangiopancreatography
Living donor liver transplantation
Percutaneous transhepatic biliary drainage
Issue Date2014
Citation
Journal of Gastroenterology and Hepatology (Australia), 2014, v. 29, n. 10, p. 1756-1763 How to Cite?
Abstract© 2014 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd. Biliary strictures can be categorized according to technical factor as anastomotic or nonanastomotic strictures. Biliary anastomotic stricture is a common complication after living-donor liver transplantation, occasionally causing deaths. The two most commonly used methods for biliary anastomosis are duct-to-duct anastomosis and hepaticojejunostomy. Before presenting a description of the latest techniques of duct-to-duct anastomosis and hepaticojejunostomy, this review first relates the technique of donor right hepatectomy, as most biliary complications suffered by recipients of living-donor liver transplantation originate from donor operations. Three possible causes of biliary anastomotic stricture, namely impaired blood supply, biliary anomaly, and technical flaw, are then discussed. Lastly, the review focuses on the latest management of biliary anastomotic stricture. Treatment modalities include endoscopic retrograde cholangiography with dilatation, percutaneous transhepatic biliary drainage with dilatation, conversion of duct-to-duct anastomosis to hepaticojejunostomy, and revision hepaticojejunostomy. End-to-side versus side-to-side hepaticojejunostomy is also discussed.
Persistent Identifierhttp://hdl.handle.net/10722/221373
ISSN
2015 Impact Factor: 3.322
2015 SCImago Journal Rankings: 1.190

 

DC FieldValueLanguage
dc.contributor.authorChok, KSH-
dc.contributor.authorLo, CM-
dc.date.accessioned2015-11-18T06:09:08Z-
dc.date.available2015-11-18T06:09:08Z-
dc.date.issued2014-
dc.identifier.citationJournal of Gastroenterology and Hepatology (Australia), 2014, v. 29, n. 10, p. 1756-1763-
dc.identifier.issn0815-9319-
dc.identifier.urihttp://hdl.handle.net/10722/221373-
dc.description.abstract© 2014 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd. Biliary strictures can be categorized according to technical factor as anastomotic or nonanastomotic strictures. Biliary anastomotic stricture is a common complication after living-donor liver transplantation, occasionally causing deaths. The two most commonly used methods for biliary anastomosis are duct-to-duct anastomosis and hepaticojejunostomy. Before presenting a description of the latest techniques of duct-to-duct anastomosis and hepaticojejunostomy, this review first relates the technique of donor right hepatectomy, as most biliary complications suffered by recipients of living-donor liver transplantation originate from donor operations. Three possible causes of biliary anastomotic stricture, namely impaired blood supply, biliary anomaly, and technical flaw, are then discussed. Lastly, the review focuses on the latest management of biliary anastomotic stricture. Treatment modalities include endoscopic retrograde cholangiography with dilatation, percutaneous transhepatic biliary drainage with dilatation, conversion of duct-to-duct anastomosis to hepaticojejunostomy, and revision hepaticojejunostomy. End-to-side versus side-to-side hepaticojejunostomy is also discussed.-
dc.languageeng-
dc.relation.ispartofJournal of Gastroenterology and Hepatology (Australia)-
dc.subjectBile duct stricture-
dc.subjectBiliary reconstruction-
dc.subjectEndoscopic retrograde cholangiopancreatography-
dc.subjectLiving donor liver transplantation-
dc.subjectPercutaneous transhepatic biliary drainage-
dc.titlePrevention and management of biliary anastomotic stricture in right-lobe living-donor liver transplantation-
dc.typeArticle-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/jgh.12648-
dc.identifier.pmid24909190-
dc.identifier.scopuseid_2-s2.0-84911954783-
dc.identifier.hkuros233264-
dc.identifier.volume29-
dc.identifier.issue10-
dc.identifier.spage1756-
dc.identifier.epage1763-
dc.identifier.eissn1440-1746-

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