Biliary sludge after liver transplantation: 2. Treatment with interventional techniques versus surgery and/or oral chemolysis

AJR. American Journal of Roentgenology
P BartonG Lechner

Abstract

Interventional treatment of biliary sludge in liver transplant recipients includes transhepatic biliary drainage and saline irrigation, catheter chemolysis and/or basket extraction, and endoscopic intervention. The purpose of this study was to compare these interventional procedures with oral chemolysis and with surgical treatment of biliary sludge in order to evaluate the effectiveness of interventional procedures as an alternative to surgery in the treatment of this complication. We retrospectively evaluated the outcome of several forms of treatment for biliary sludge occurring after liver transplantation in 49 cases. Treatments included oral chemolysis with chenodeoxycholic acid (n = 35), percutaneous transhepatic biliary drainage (n = 13) followed by irrigation with heparinized saline solution (n = 4), intraluminal chemolysis with glycero-octanoate-carnosine and bile salts-EDTA (n = 3) and/or basket extraction (n = 5), and endoscopic intervention (n = 2) or surgery (n = 26). Oral chemolysis was attempted in all cases of biliary sludge if no other complications were present. If this conservative treatment failed and the sludge was limited to the main bile ducts, interventional procedures were attempted. Surgical removal of t...Continue Reading

Citations

Sep 14, 2007·Abdominal Imaging·Rossano GiromettiMassimo Bazzocchi
Dec 1, 2004·Seminars in Interventional Radiology·Nishita KotharyRichard D Shlansky-Goldberg
Feb 25, 2005·AJR. American Journal of Roentgenology·Carlos VallsTeresa Serrano
Nov 28, 2006·Best Practice & Research. Clinical Gastroenterology·Christoph JüngstDieter Jüngst
Oct 1, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Niraj V GorStanley Martin Cohen
Oct 19, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Emanuela GiampalmaRita Golfieri
Dec 6, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Woo Hyun PaikYong Bum Yoon
Apr 23, 2013·Liver International : Official Journal of the International Association for the Study of the Liver·Torsten VoigtländerTim O Lankisch
Nov 22, 2011·Liver International : Official Journal of the International Association for the Study of the Liver·Alisan KahramanAli Canbay
Jun 20, 2006·Scandinavian Journal of Gastroenterology. Supplement·Robert C VerdonkElizabeth B Haagsma
Aug 9, 2003·The American Journal of Gastroenterology·Janak N ShahGregory G Ginsberg
Mar 17, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·B R DavidsonK Rolles
Nov 2, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M A Moser, W J Wall
Nov 13, 2015·Ultrasound Quarterly·Bing Hu, Mindy M Horrow
Jun 24, 2008·Disease-a-month : DM·Eric R Kallwitz, Scott J Cotler
Aug 30, 2008·Techniques in Vascular and Interventional Radiology·David G Buck, Albert B Zajko

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