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Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases

BACKGROUND: Liver transplantation (LT) is an effective treatment option for patients with end-stage liver disease; biliary complications are important cause of death in posttransplant patients. Endoscopic retrograde cholangiopancreatography (ERCP) has an irreplaceable role in the diagnosis and treat...

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Autores principales: Tang, Fanfan, Song, Jingtao, Cai, Tanxing, Lei, Zhao, Huang, Feizhou, Hu, Yina, Deng, Gang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427298/
https://www.ncbi.nlm.nih.gov/pubmed/36052377
http://dx.doi.org/10.1155/2022/4498443
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author Tang, Fanfan
Song, Jingtao
Cai, Tanxing
Lei, Zhao
Huang, Feizhou
Hu, Yina
Deng, Gang
author_facet Tang, Fanfan
Song, Jingtao
Cai, Tanxing
Lei, Zhao
Huang, Feizhou
Hu, Yina
Deng, Gang
author_sort Tang, Fanfan
collection PubMed
description BACKGROUND: Liver transplantation (LT) is an effective treatment option for patients with end-stage liver disease; biliary complications are important cause of death in posttransplant patients. Endoscopic retrograde cholangiopancreatography (ERCP) has an irreplaceable role in the diagnosis and treatment of patients with biliary tract disease. METHODS: The clinical data of patients with biliary strictures (BS) after LT treated with ERCP admitted to the Third Xiangya Hospital of Central South University from September 2016 to October 2021 were reviewed; the changes in temperature, bilirubin, and albumin before and after treatment and postoperative complications were analyzed. RESULTS: A total of 41 patients were included in the study, and biliary stents were successfully placed in 37 cases (90.2%), while 4 cases (9.8%) were unsuccessful due to complete BS. Patients with ERCP guided biliary stenting had a significant improvement in bilirubin index compared to the preoperative period (P < 0.05). 27 patients (73.0%) had complete relief of symptoms after 1 ERCP-guided treatment, and 10 patients (27.0%) developed BS again at different times after the first ERCP treatment, among which 8 patients developed BS again within 1 year after the first treatment and 2 patients developed BS again after 1 year after the first treatment. The incidence of endoscopy-related adverse events was 35.14%, with no serious adverse events. CONCLUSION: ERCP-guided biliary stenting was an effective and safety treatment for BS after LT.
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spelling pubmed-94272982022-08-31 Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases Tang, Fanfan Song, Jingtao Cai, Tanxing Lei, Zhao Huang, Feizhou Hu, Yina Deng, Gang Gastroenterol Res Pract Research Article BACKGROUND: Liver transplantation (LT) is an effective treatment option for patients with end-stage liver disease; biliary complications are important cause of death in posttransplant patients. Endoscopic retrograde cholangiopancreatography (ERCP) has an irreplaceable role in the diagnosis and treatment of patients with biliary tract disease. METHODS: The clinical data of patients with biliary strictures (BS) after LT treated with ERCP admitted to the Third Xiangya Hospital of Central South University from September 2016 to October 2021 were reviewed; the changes in temperature, bilirubin, and albumin before and after treatment and postoperative complications were analyzed. RESULTS: A total of 41 patients were included in the study, and biliary stents were successfully placed in 37 cases (90.2%), while 4 cases (9.8%) were unsuccessful due to complete BS. Patients with ERCP guided biliary stenting had a significant improvement in bilirubin index compared to the preoperative period (P < 0.05). 27 patients (73.0%) had complete relief of symptoms after 1 ERCP-guided treatment, and 10 patients (27.0%) developed BS again at different times after the first ERCP treatment, among which 8 patients developed BS again within 1 year after the first treatment and 2 patients developed BS again after 1 year after the first treatment. The incidence of endoscopy-related adverse events was 35.14%, with no serious adverse events. CONCLUSION: ERCP-guided biliary stenting was an effective and safety treatment for BS after LT. Hindawi 2022-08-23 /pmc/articles/PMC9427298/ /pubmed/36052377 http://dx.doi.org/10.1155/2022/4498443 Text en Copyright © 2022 Fanfan Tang et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Tang, Fanfan
Song, Jingtao
Cai, Tanxing
Lei, Zhao
Huang, Feizhou
Hu, Yina
Deng, Gang
Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases
title Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases
title_full Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases
title_fullStr Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases
title_full_unstemmed Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases
title_short Feasibility and Safety of ERCP in the Treatment of Biliary Strictures after Liver Transplantation: With a Report of 37 Cases
title_sort feasibility and safety of ercp in the treatment of biliary strictures after liver transplantation: with a report of 37 cases
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9427298/
https://www.ncbi.nlm.nih.gov/pubmed/36052377
http://dx.doi.org/10.1155/2022/4498443
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