Choi Jin Ho, Paik Woo Hyun
Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Clin Endosc. 2020 May;53(3):255-260. doi: 10.5946/ce.2020.079. Epub 2020 May 22.
Living donor liver transplantation is the most common type of liver transplantation in Asia. Post-transplant biliary stricture is frequent in living donor liver transplantation, and endoscopic management is considered to be the treatment of choice. However, endoscopic management is still challenging in patients who undergo right lobe living donor liver transplantation because of the anatomical alteration. In this article, we reviewed the recently updated results for proper endoscopic biliary drainage in post-living donor liver transplantation anatomical biliary stricture and compared unilateral and bilateral drainage.
活体肝移植是亚洲最常见的肝移植类型。移植后胆管狭窄在活体肝移植中很常见,内镜治疗被认为是首选治疗方法。然而,由于解剖结构改变,对于接受右半肝活体肝移植的患者,内镜治疗仍具有挑战性。在本文中,我们回顾了活体肝移植后解剖性胆管狭窄内镜下适当胆道引流的最新结果,并比较了单侧和双侧引流。