Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation

Objective: to evaluate the efficiency of endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation (OLT).Materials and methods. One hundred and seventy-one OLTs were carried out at the N.V. Sklifosovsky Research...

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Main Authors: M. Sh. Khubutia, A. V. Chzhao, E. A. Soldatov, T. P. Pinchuk, A. N. Lotov, E. Yu. Pavlikova, K. I. Alekseyev
Format: Article
Language:English
Published: N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department 2018-08-01
Series:Трансплантология (Москва)
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Online Access:https://www.jtransplantologiya.ru/jour/article/view/291
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author M. Sh. Khubutia
A. V. Chzhao
E. A. Soldatov
T. P. Pinchuk
A. N. Lotov
E. Yu. Pavlikova
K. I. Alekseyev
author_facet M. Sh. Khubutia
A. V. Chzhao
E. A. Soldatov
T. P. Pinchuk
A. N. Lotov
E. Yu. Pavlikova
K. I. Alekseyev
author_sort M. Sh. Khubutia
collection DOAJ
description Objective: to evaluate the efficiency of endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation (OLT).Materials and methods. One hundred and seventy-one OLTs were carried out at the N.V. Sklifosovsky Research Institute of Emergency Care in January to October 2010. Of them, endoscopic transpapillary interventions into the bile ducts for biliary complications were undertaken in 13 (7.6%) patients. These patients underwent a total of 33 endoscopic retrograde cholangiographies (ERCG), 13 endoscopic papillosphincterotomies, 5 bouginages, and 22 stentings.Results. There were no fatal outcomes associated with endoscopic interventions. By and large, the immediate result of endoscopic treatment was positive in 10 (77.0%) patients. Our results of endoscopic treatment were comparable with the data available in the literature.Conclusion. ERCG can reveal post-OLT bile-biliary anastomostic strictures and failure, which serve as an indication for endoscopic bilioduodenal stenting with stepwise restenting.
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publishDate 2018-08-01
publisher N.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department
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spelling doaj-art-653e00f297364ef2b263a2b1cdee00412025-08-20T03:18:19ZengN.V. Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare DepartmentТрансплантология (Москва)2074-05062542-09092018-08-0103-4273110.23873/2074-0506-2010-0-3-4-27-31280Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantationM. Sh. Khubutia0A. V. Chzhao1E. A. Soldatov2T. P. Pinchuk3A. N. Lotov4E. Yu. Pavlikova5K. I. Alekseyev6N.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareN.V. Sklifosovsky Research Institute of Emergency CareObjective: to evaluate the efficiency of endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation (OLT).Materials and methods. One hundred and seventy-one OLTs were carried out at the N.V. Sklifosovsky Research Institute of Emergency Care in January to October 2010. Of them, endoscopic transpapillary interventions into the bile ducts for biliary complications were undertaken in 13 (7.6%) patients. These patients underwent a total of 33 endoscopic retrograde cholangiographies (ERCG), 13 endoscopic papillosphincterotomies, 5 bouginages, and 22 stentings.Results. There were no fatal outcomes associated with endoscopic interventions. By and large, the immediate result of endoscopic treatment was positive in 10 (77.0%) patients. Our results of endoscopic treatment were comparable with the data available in the literature.Conclusion. ERCG can reveal post-OLT bile-biliary anastomostic strictures and failure, which serve as an indication for endoscopic bilioduodenal stenting with stepwise restenting.https://www.jtransplantologiya.ru/jour/article/view/291orthotopic liver transplantationbiliary complicationsbilioduodenal stenting
spellingShingle M. Sh. Khubutia
A. V. Chzhao
E. A. Soldatov
T. P. Pinchuk
A. N. Lotov
E. Yu. Pavlikova
K. I. Alekseyev
Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
Трансплантология (Москва)
orthotopic liver transplantation
biliary complications
bilioduodenal stenting
title Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
title_full Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
title_fullStr Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
title_full_unstemmed Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
title_short Endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
title_sort endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation
topic orthotopic liver transplantation
biliary complications
bilioduodenal stenting
url https://www.jtransplantologiya.ru/jour/article/view/291
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