Navaneethan Udayakumar, Venkatesh Preethi G K, Al Mohajer Mayar, Gelrud Andres
Department of Gastroenterology, Digestive Disease Institute, the Cleveland Clinic, Cleveland, OH 44195, USA.
JOP. 2011 Sep 9;12(5):461-3.
Biliary cast syndrome is an unusual complication of orthotopic liver transplantation with serious clinical implications. Surgical management has been the mainstay of treatment. Endoscopic techniques are recently described in the successful removal of biliary casts. Peroral single operator cholangioscopy is useful for direct visualization of bile ducts, tissue sampling and therapeutic applications.
We report here a post liver transplant patient who underwent successful complete endoscopic removal of biliary cast using single operator cholangioscopy in a single sitting.
Single operator cholangioscopy provides a safe means of diagnosing and treating patients with biliary cast syndrome.
胆管铸型综合征是原位肝移植的一种罕见并发症，具有严重的临床意义。手术治疗一直是主要的治疗方法。最近有报道称内镜技术可成功清除胆管铸型。经口单人操作胆管镜检查有助于直接观察胆管、组织取样及治疗应用。
我们在此报告一例肝移植术后患者，通过单人操作胆管镜检查在一次手术中成功完全内镜清除胆管铸型。
单人操作胆管镜检查为胆管铸型综合征患者提供了一种安全的诊断和治疗方法。
