Percutaneous transhepatic cholangial drainage for treating isolated bilioenteric anastomotic stenosis after liver transplantation in children
10.13929/j.issn.1672-8475.2024.06.001
- VernacularTitle:经皮肝穿刺胆管引流术治疗儿童肝移植术后孤立性双胆肠吻合口狭窄
- Author:
Haochen WANG
1
;
Yanjing HAN
;
Long JIN
Author Information
1. 首都医科大学附属北京友谊医院放射介入科,北京 100050
- Keywords:
liver transplantation;
postoperative complications;
punctures;
drainage;
biliary intestinal anastomosis;
stenosis
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(6):321-324
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy and safety of percutaneous transhepatic cholangial drainage(PTCD)for treating isolated bilioenteric anastomotic stenosis(BAS)after liver transplantation in children.Methods Totally 31 children with BAS after liver transplantation were retrospectively enrolled.PTCD was performed,and the drainage tubes were placed into bilioenteric anastomosis of the second and the third biliary tract for long-term support.Complications after PTCD,success rate of extubation,serum total bilirubin after PTCD and performance of the secondary liver transplantation or not were recorded.Results All 31 cases were successfully treated with PTCD.Delayed recovery after general anesthesia occurred in 1 case after PTCD,which was considered as anesthesia related complication and relieved after symptomatic treatments.No PTCD related complication,such as hemorrhage,infection and biliary fistula occurred.The serum total bilirubin before PTCD was(64.09±24.40)μmol/L,which returned to normal at the first reexamined after treatment with an average of(19.98±3.99)μmol/L.The drainage tubes were successfully extubated in 27 cases,with the success rate of 87.10%(27/31)and the mean drainage time of(7.0±3.7)months.Among the rest 4 cases,further observation was necessary in 2 cases due to intermittent fever,while severe obstruction of bilioenteric anastomosis was found during PTCD,the drainage tube of non-obstruction segment was removed but of obstruction segment was retained in the other 2 cases.No secondary liver transplantation was performed.Conclusion PTCD was effective and safe for treating BAS after liver transplantation in children.
