Comparsion of PTC and ERCP for the treatment of biliary tract stricture after liver transplantation
10.3760/cma.j.issn.1007-631X.2012.11.019
- VernacularTitle:经皮肝穿刺和经内镜介入治疗肝移植术后胆管狭窄疗效的比较
- Author:
Genshu WANG
;
Changmou XU
;
Keke HE
;
Fengping ZHENG
;
Zaibo JIANG
;
Hua LI
;
Chi XU
;
Shuhong YI
;
Jian ZHANG
;
Yang YANG
;
Guihua CHEN
;
Hong SHAN
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Biliary duct diseases;
Cholangiography;
Cholangiopancreatography,endoscopic retrograde
- From:
Chinese Journal of General Surgery
2012;(11):920-923
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of percutaneous and endoscopic treatment for the biliary stricture(BS) after liver transplantation (LT).Methods The result of percutaneous transhepatic cholangiography (PTC) and drainage ( PTC group) and endoscopic retrograde cholangiopancreatography (ERCP group) for the BS in 132 post-LT patients were analyzed retrospectively.Ninety-nine patients received PTC treatment,and 59 patients received ERCP treatment,26 patients converted to PTC treatment because of the poor efficacy or failure of the ERCP treatment.The operation success rate,complication rate,cure rate and remission rate of the two groups were compared with X2 test.Results The BS types of PTC and ERCP group were different significantly( P ＜ 0.01 ),with more non-anostomotic stricture in PTC group and more anostomotic stricture in ERCP group.The operation success rate of PTC group was higher than of ERCP group( 100％ vs 97％ ) (P ＜0.01 ),and the complication rate of PTC group was lower than of ERCP group.The overall cure and remission rate of PTC and ERCP group were not different significantly(32.3％ vs 45.8％,94.9％ vs 88.1％ ) (P ＞0.05).The cure and remission rate of PTC and ERCP treatment for each subtype of BS were not different significantly ( P ＞ 0.05 ).Conclusions The efficacy of PTC treatment for the post-LT BS is equivalent to that of ERCP treatment.PTC can be considered the first-line option for the post-LT BS.
