Journal article
Outcome of ERCP in the management of duct-to-duct anastomotic strictures in orthotopic liver transplant
Digestive diseases and sciences, Vol.52(9), pp.2346-2350
09/2007
DOI: 10.1007/s10620-006-9142-0
PMID: 17429736
Abstract
This study sought to determine the efficacy of endoscopic treatment of duct-to-duct anastomotic stricture in orthotopic liver transplant. A retrospective chart and database review was carried out using procedure and diagnosis codes during the period of 1997-2001. One hundred ninety-eight adult patients underwent orthotopic liver transplantation from 1997 to 2001. Fifteen patients (age 52+/-9 years; 60% women) with duct-to-duct anastomotic strictures were identified. They underwent a total of 53 endoscopic retrograde cholangiopancreatographies (ERCPs) and received different endoscopic treatments including biliary dilation, stent placement, and sphinctrerotomy. Thirteen of these patients (87%) had complete resolution of stricture. Of the remaining two patients, one had partial resolution of stricture and underwent long-term self-expanding metal stenting, while the other had no resolution after two ERCPs. We conclude that ERCP was effective in treating 87% of the duct-to-duct anastomotic strictures in this series.
Details
- Title: Subtitle
- Outcome of ERCP in the management of duct-to-duct anastomotic strictures in orthotopic liver transplant
- Creators
- Farshad Elmi - Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USAWilliam B Silverman
- Resource Type
- Journal article
- Publication Details
- Digestive diseases and sciences, Vol.52(9), pp.2346-2350
- DOI
- 10.1007/s10620-006-9142-0
- PMID
- 17429736
- ISSN
- 0163-2116
- eISSN
- 1573-2568
- Language
- English
- Date published
- 09/2007
- Academic Unit
- Gastroenterology and Hepatology; Internal Medicine
- Record Identifier
- 9984094572102771
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