Document Detail

Contrast enhanced ultrasound cholangiography via T-tube following liver transplantation.
MedLine Citation:
PMID:  23274330     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The objective was to evaluate contrast enhanced ultrasound (CEUS) based cholangiography compared to conventional radiography as a reference method in patients after liver transplantation.
MATERIAL/METHODS: Contrast agents were administered through T-tubes, which were placed during the operation. Twelve patients with side-to-side choledocho-choledochostomy and standardized intraoperative T-tube placement were investigated on the 5th postoperative day (POD 5) with both techniques. All images were digitally acquired and assessed in consensus by two investigators regarding complete anatomic visualization, depiction of pathology (e.g. delayed contrast outflow, stenosis and leakage) and general image quality.
RESULTS: CEUS cholangiography showed comparable results in the detection of biliary pathology and overall image quality. Regarding the visualization of the extrahepatic bile duct CEUS produced limited results in 6 patients.
CONCLUSIONS: In conclusion, CEUS cholangiography via T-tube represents a potential bedside test for visualization of intrahepatic bile ducts of transplanted livers; its diagnostic value remains to be determined in further studies.
Sascha S Chopra; Robert Eisele; Lars Stelter; Daniel Seehofer; Christian Grieser; Peter Warnick; Timm Denecke
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Annals of transplantation : quarterly of the Polish Transplantation Society     Volume:  17     ISSN:  2329-0358     ISO Abbreviation:  Ann. Transplant.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-31     Completed Date:  2013-05-28     Revised Date:  2013-06-17    
Medline Journal Info:
Nlm Unique ID:  9802544     Medline TA:  Ann Transplant     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  108-12     Citation Subset:  IM    
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany.
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MeSH Terms
Bile Duct Diseases / etiology,  radiography,  ultrasonography*
Bile Ducts, Extrahepatic / ultrasonography*
Bile Ducts, Intrahepatic / radiography,  ultrasonography*
Contrast Media / diagnostic use*
Decision Support Techniques
Drainage / instrumentation,  methods
Feasibility Studies
Liver Transplantation*
Microbubbles / diagnostic use
Middle Aged
Phospholipids / diagnostic use*
Postoperative Care / instrumentation,  methods
Postoperative Complications / radiography,  ultrasonography*
Sulfur Hexafluoride / diagnostic use*
Reg. No./Substance:
0/Contrast Media; 0/Phospholipids; 0/contrast agent BR1; 2551-62-4/Sulfur Hexafluoride

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