Wolfsen H C, Porayko M K, Hughes R H, Gostout C J, Krom R A, Wiesner R H
Division of Gastroenterology, Mayo Clinic, Rochester, Minnesota.
Am J Gastroenterol. 1992 Aug;87(8):955-60.
We reviewed the records of 20 liver transplant patients who underwent 28 procedures [endoscopic retrograde cholangiopancreatography (ERCP)] to rule out biliary obstruction, treat bile leaks, dilate and/or stent strictures, or remove stones and debris. Three patients (two with abnormal T-tube cholangiograms and one with hyperbilirubinemia) underwent ERCP to rule out obstruction. Therapeutic ERCP (sphincterotomy with balloon dilatation or stone extraction) was successful in 16 of 17 patients, including seven of nine in whom there was resolution of bile leaks without the use of stents or surgery. Mild pancreatitis occurring in one patient was the only complication experienced that was related to ERCP. We conclude that ERCP is a safe and important modality in the medical management of biliary tract complications after orthotopic liver transplantation.
我们回顾了20例肝移植患者的记录，这些患者接受了28次[内镜逆行胰胆管造影术（ERCP）]操作，以排除胆道梗阻、治疗胆漏、扩张和/或置入支架治疗狭窄或取出结石及碎片。3例患者（2例T管胆管造影异常，1例高胆红素血症）接受ERCP以排除梗阻。治疗性ERCP（括约肌切开术联合球囊扩张或取石）在17例患者中的16例取得成功，其中9例中有7例在未使用支架或手术的情况下胆漏得到解决。1例患者发生轻度胰腺炎，这是唯一与ERCP相关的并发症。我们得出结论，ERCP在原位肝移植术后胆道并发症的医疗管理中是一种安全且重要的方式。
