Abstract
Objective To evaluate the therapeutic efficacy of the nonoperative treatments for the management of patients with ischemic biliary lesions following liver transplantation.Methods The clinical data of 253 adult patients receiving liver transplantation from September 2000 to June 2002 were retrospectively analyzed.Thirty-five of them having ischemic biliary lesions during liver transplantation were treated with the percutaneous balloon dilatation and large profile catheter maintenance method (1-6 months).Results The initial technical success rate was in 24 of 35 (68.5%) patients.When reviewing 8 patients,secondary nonoperative treatments were needed for treating the delayed recurrence of biliary stricture.In 2 patients,no recurrent stenosis was seen during the further follow-up after secondary nonoperative treatment.Six patients did not respond to secondary nonoperative treatment and they were treated by surgery.Eighteen of the 35 patients (51%) showed good biliary patency for 8-80 months (mean=54 months) of follow-up.Conclusion Nonoperative treatment is an effective therapeutic alternative for the treatment of ischemic biliary lesions occurring during liver transplantation.It has a high success rate and should be considered before surgery. Key words: Liver transplantation; Ischemic biliary lesion; Nonoperative treatment
Published Version
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