Fiber choledochoscope in treatment of patients with biliary cast syndrome after liver transplantation

doi:10.3877/cma.j.issn.2095-3232.2018.03.009

Abstract

Abstract:

Objective

To investigate the safety and efficacy of fiber choledochoscope in the treatment of patients with biliary cast syndrome (BCS) after liver transplantation (LT).

Methods

Clinical data of 10 patients with BCS after LT treated with fiber choledochoscope in the Affiliated Hospital of Qingdao University between March 2014 and June 2016 were analyzed retrospectively. There were 8 males and 2 females, aged 46-66 years old and the median age was 50 years old. The primary diseases of the patients were primary liver cancer (n=6), biliary cirrhosis (n=1), hepatic cirrhosis after hepatitis B (n=2), and hepatic cirrhosis after hepatitis C (n=1). The informed consents of all patients were obtained and the local ethical committee approval was received. For patients with BCS in the early stage after LT, T tube was replaced. For patients in late stage after LT, T tube fistula dilatation was performed, then biliary cast (BC) was removed and the supporting drainage tube was placed.

Results

2 cases received T tube replacement when in early stage after LT, 8 received T tube fistula dilatation when in late stage after LT. All 10 cases had BC removed successfully with fiber choledochoscope. Liver function of 8 cases returned to normal after surgery, and the biliary drainage tube was removed. 2 cases had BC again and recurrent biliary infection, and then received PTCD drainage.

Conclusion

Fiber choledochoscope is safe, effective and feasible for the treatment of BCS after LT.

Key words: Liver transplantation, Biliary cast syndrome, Choledochoscope

Jing Yang, Tao Liu, Lin Sun, Guangxiang Jia, Yunjin Zang, Xiao Hu. Fiber choledochoscope in treatment of patients with biliary cast syndrome after liver transplantation[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2018, 07(03): 202-205.

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References 20

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