Outcomes and risk factors for failure of radiologic treatment of biliary strictures in pediatric liver transplantation recipients

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Bhanu SunkuEstella Alonso

Abstract

Posttransplantation biliary strictures occur in 5-34% of the pediatric liver transplant patients and are conventionally managed by interventional radiological techniques. The aim of this manuscript is to assess the outcomes of patients with biliary strictures treated by percutaneous dilatation at our institution. Included in the study were 35 children with posttransplant biliary strictures that were treated with percutaneous dilatation and stenting. Initial dilation and biliary stent placement was accomplished in all patients without complications requiring surgical intervention. Recurrent strictures developed in 23 (66%) of 35 patients. The recurrence rate was 45% for anastomotic strictures, 90% for intrahepatic strictures, and 100% for those with both an anastomotic and intrahepatic component. Seven patients required revision of the choledochojejunostomy, 5 of them with a successful outcome and 2 requiring retransplant. Five patients were treated with retransplantation without surgical revision. Patients with an intrahepatic or a "combined" stricture were less likely to have a successful outcome after radiologic treatment. In conclusion, the radiological treatment of biliary strictures with balloon dilation and stenting can b...Continue Reading

References

May 1, 1991·The British Journal of Surgery·W P SchweizerL H Blumgart
Mar 1, 1988·Transplantation·C E BroelschJ L Lichtor
Sep 1, 1968·Annals of Surgery·T E StarzlK A Porter
Jan 1, 1995·Journal of Vascular and Interventional Radiology : JVIR·A B ZajkoK M Bron
Feb 1, 1994·Journal of Pediatric Surgery·M H PecletM M Ziegler
Sep 1, 1995·Journal of Vascular and Interventional Radiology : JVIR·N G DiamondG B Klintmalm
Jan 1, 1996·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·E M AlonsoP F Whitington
Mar 3, 1999·Journal of Pediatric Surgery·M López-SantamariaJ A Tovar
Feb 27, 2001·AJR. American Journal of Roentgenology·J M LorenzT Van Ha
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
Mar 22, 2002·Cardiovascular and Interventional Radiology·Dorico RighiGiovanni Gandini
Dec 24, 2004·AJR. American Journal of Roentgenology·Jonathan M LorenzJordan D Rosenblum

❮ Previous
Next ❯

Citations

Jun 25, 2008·Cardiovascular and Interventional Radiology·Roberto MiragliaBruno Gridelli
Jun 23, 2009·Cardiovascular and Interventional Radiology·Airton Mota MoreiraGiovanni Guido Cerri
Feb 18, 2009·World Journal of Gastroenterology : WJG·Marco SpadaBruno Gridelli
Aug 3, 2013·Cardiovascular and Interventional Radiology·Stéphanie Franchi-AbellaDerek J Roebuck
Mar 28, 2009·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Roberto MiragliaBruno Gridelli
Sep 28, 2013·Expert Review of Gastroenterology & Hepatology·Denis DevictorUNKNOWN Bicêtre Hospital Pediatric Transplant Group
Nov 16, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kendra D ConzenChristopher D Anderson
Apr 8, 2010·Pediatric Clinics of North America·Binita M Kamath, Kim M Olthoff
Aug 30, 2008·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Gi-Young KoSung Gyu Lee
Apr 16, 2013·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jörg G AlbertWolf Peter Hofmann
Jul 10, 2013·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Deirdre A KellyUNKNOWN American Society of Transplantation
Apr 14, 2012·The Mount Sinai Journal of Medicine, New York·Sukru EmreRichard Rosencrantz
Apr 25, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Flávia H FeierJoão Seda-Neto
Jun 20, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Joao Seda Neto, Paulo Chapchap
May 9, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Tom DariusRaymond Reding
Nov 29, 2015·Techniques in Vascular and Interventional Radiology·Benjamin AtchieShellie Josephs
May 21, 2015·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Jerome M LaurenceAnand Ghanekar
Apr 22, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Baburao KoneruPhillip F Bahramipour
Oct 31, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Benjamin L Shneider, George V Mazariegos
Apr 9, 2009·Expert Review of Gastroenterology & Hepatology·Kamran SafdarMartin L Freeman
Feb 12, 2020·Cardiovascular and Interventional Radiology·Jan H PeregrinLibor Janoušek
Sep 12, 2015·Khirurgiia·A V SemenkovA V Goncharova
Jul 27, 2017·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Ayman Zaki Azzam, Koichi Tanaka
May 13, 2021·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Kimberly L YanDouglas G Farmer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.