经皮肝穿刺胆道镜引导下球囊扩张术成功治疗活体肝移植术后胆总管空肠吻合口严重狭窄
Successful treatment of severe anastomotic stricture of a choledochojejunostomy after living donor liver transplantation with transhepatic cholangioscopy-guided balloon dilatation.
作者信息
Shimizu T, Urahashi T, Ihara Y, Kaneda Y, Miki A, Sanada Y, Wakiya T, Okada N, Yamada N, Mizuta K
机构信息
Department of Surgery, Jichi Medical University, Tochigi, Japan.
Department of Surgery, Jichi Medical University, Tochigi, Japan.
出版信息
Transplant Proc. 2014 Apr;46(3):999-1000. doi: 10.1016/j.transproceed.2013.10.045.
Anastomotic stricture of the choledochojejunostomy is a common complication after living donor liver transplantation. Most anastomotic strictures can be treated by percutaneous transhepatic cholangiodrainage and/or double balloon endoscopy. However, in severe cases and/or in small infants, neither of these is possible. Our new technique, cholangiography accompanied by cholangioscopy, enabled successful guidewire placement and balloon dilatation in cases with severe anastomotic stricture.
胆管空肠吻合口狭窄是活体肝移植术后的常见并发症。大多数吻合口狭窄可通过经皮经肝胆管引流和/或双气囊内镜治疗。然而，在严重病例和/或小婴儿中，这两种方法都不可行。我们的新技术，即胆管造影联合胆道镜检查，在严重吻合口狭窄的病例中成功实现了导丝置入和球囊扩张。
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