Role of percutaneous transhepatic cholangial drainage in 29 patients with non-anastomotic biliary stricture following the treatment of endoscopic retrograde cholangio-pancreatography after liver transplantation
10.3760/cma.j.issn.0254-1785.2014.03.008
- VernacularTitle:肝移植后非吻合口胆道狭窄ERCP治疗失败后行经皮经肝胆管引流术29例
- Author:
Jiqiao ZHU
;
Kun GAO
;
Dongdong HAN
;
Jiantao KOU
;
Hua FAN
;
Renyou ZHAI
;
Qiang HE
- Publication Type:Journal Article
- Keywords:
Liver transplantation;
Non-anastomotic biliary stricture;
Interventional therapy
- From:
Chinese Journal of Organ Transplantation
2014;35(3):157-159
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the curative effect of percutaneous transhepatic cholangial drainage(PTCD) on patients with non-anastomotic stricture after liver transplantation when treated with endoscopic retrograde cholangio-pancreatography(ERCP) unsuccessfully.Method The clinical data of 29 patients with non-anastomotic biliary stricture after liver transplantation were retrospectively analyzed,who failed to respond to ERCP and underwent PTCD from January 2005 to December 2007.Result All patients were performed PTCD successfully including cholangiography in 141 cases,drainage tube replacement in 115 cases,and balloon dilation of bile duct stricture in 39cases.The intubation time ranged from 2 months to 65 months.The mean levels (x ± SD) of alanine aminotransferase,aspartate aminotransferase and total bilirubin were 68.0 ± 29.1 U/L,52.6 ± 34.8 U/L,63.2 ± 33.3 μmol/L after treatment in comparison to 178.3 ± 63.3 U/L,144.0 ± 59.1 U/L,154.2 ± 92.0 μmol/L before treatment.Conclusion PTCD,which could improve the symptoms and prolong the survival time of both grafts and patients in spite of inconvenience of intubation,is suggested for patients with non-anastomotic biliary stricture if they are not suitable for liver retransplantation.
