| Magnetic resonance cholangiography in the diagnosis of biliary complications after orthotopic liver transplantation. | |
| | |
MedLine Citation:
|
PMID: 15194328 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The aim of our study was to evaluate the role of magnetic resonance cholangiography (MRC) in the diagnosis of biliary tract complications (BC) after orthotopic liver transplantation (OLT). MATERIALS AND METHODS: Among 21 OLT patients who underwent routine follow-up MRC using a breath-hold T2-weighted turbo spin-echo sequence with half-Fourier acquisition (HASTE), 5 had an elevated serum alkaline phosphatase level. Diagnostic confirmation was obtained with endoscopic retrograde cholangiography (ERC) (n = 11), surgery (n = 3), or clinical and laboratory follow-up of at least 1 year (n = 8). RESULTS: In 13 patients, no abnormality of the biliary tract was detected using MRC. In 8 patients, anastomotic strictures were diagnosed, 7 of which were confirmed at surgery or using ERC. One patient with normal findings at MRC and abnormal liver function test results was found to have a stricture at ERC. All patients with normal MRC and liver function tests had 1 year of uneventful follow-up and were considered true-negative cases. We found that MRC had 87.5% sensitivity, 92.3% specificity, 87.5% positive predictive value, 92.3% negative predictive value, and 90.4% accuracy for the diagnosis of BC. CONCLUSION: MRC is a valuable examination to detect BC after OLT. It provides useful information for planning interventional procedures. |
| | |
Authors:
|
M M Linhares; A M Gonzalez; S M Goldman; R D S Coelho; N Y Sato; R M A M Moura; M H G Silva; V P Lanzoni; A Salzedas; C B Serra; T Succi; G D'Ippolito; J Szejnfeld; T Triviño |
Related Documents
:
|
18657488 - Nasobiliary drainage in acute cholestatic hepatitis with pruritus. 3704718 - Hepatotoxicity after long-term methotrexate therapy. 3726118 - Hepatic amebic abscess: cholescintigraphic rim enhancement. 21350208 - Restenosis after carotid surgery: the importance of clinical presentation and preoperat... 9552028 - Management strategies and outcomes of germ cell tumor patients with very high human cho... 3171788 - Effect of vitamin e deficiency on neurologic function in patients with cystic fibrosis. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Transplantation proceedings Volume: 36 ISSN: 0041-1345 ISO Abbreviation: Transplant. Proc. Publication Date: 2004 May |
Date Detail:
|
Created Date: 2004-06-14 Completed Date: 2005-04-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0243532 Medline TA: Transplant Proc Country: United States |
Other Details:
|
Languages: eng Pagination: 947-8 Citation Subset: IM |
Affiliation:
|
São Paulo Federal University Medical School, Federal University of São Paulo, Sao Paulo, Brazil. marbet@uol.com.br |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cholangiography* Gallbladder Diseases / radiography* Humans Liver Transplantation / adverse effects* Magnetic Resonance Angiography* Postoperative Complications / radiography Predictive Value of Tests Reproducibility of Results Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Management of vascular complications after pediatric liver transplantation.
Next Document: A comparison of nutritional status in three time points of liver transplant.