Chen Jun-zhong, Cui Yi, Li Chu-jun
Department of Gastroenterology, Longgang Central Hospital, Shenzhen 518116, China.
Di Yi Jun Yi Da Xue Xue Bao. 2005 Jun;25(6):610-2.
To evaluate the diagnostic and therapeutic value of endoscopic retrograde cholangiopancreatography (ERCP) for biliary complications after liver transplantation.
ERCP was performed via electronic duodenoscopy in 12 patients suspected of having biliary complications such as obstructive jaundice after orthotopic liver transplantation.
ERCP displayed common bile duct stenosis or obstruction in 9 cases (including 2 cases with also calculi), common bile duct calculi in 2 cases (including 1 complicated by bile duct dilation) and intrahepatic bile duct thinning in the donor liver in 1 case. Balloon dilation of the common bile duct, calculus removal and metal stent placement in the common bile duct was performed in one case. Calculus removal by Oddi sphincterotomy was carried out in 3 cases. Nasobiliary catheter placement was performed in 2 cases.
ERCP may serve as the primary modality for diagnosing and treating biliary complications after orthotopic liver transplantation with good safety and effectiveness in most cases.
评估内镜逆行胰胆管造影术（ERCP）对肝移植术后胆道并发症的诊断及治疗价值。
对12例怀疑原位肝移植术后出现如梗阻性黄疸等胆道并发症的患者，通过电子十二指肠镜进行ERCP检查。
ERCP显示9例胆总管狭窄或梗阻（其中2例合并结石），2例胆总管结石（其中1例合并胆管扩张），1例供肝肝内胆管变细。1例患者行胆总管球囊扩张、取石及胆总管金属支架置入术。3例行Oddi括约肌切开取石术。2例行鼻胆管置管术。
ERCP可作为原位肝移植术后胆道并发症诊断及治疗的主要手段，多数情况下安全性及有效性良好。
