Document Detail

Percutaneous management of anastomotic bile leaks following liver transplantation.
MedLine Citation:
PMID:  17562517     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To review our experience with percutaneous internal-external biliary drainage in treating biliary anastomotic leaks following orthotopic liver transplantation. MATERIALS AND METHODS: Between September 1997 and June 2006, 157 liver transplantations were performed in our hospital. Percutaneous transhepatic biliary drainage was performed in 10 patients (9 males, 1 female; mean age, 32.9 years; age range, 2-62 years) with patent hepatic arterial systems to treat clinically significant anastomotic bile leaks. RESULTS: Bile leaks were resolved and anastomotic patency was restored in all patients. Massive hemobilia occurred in 1 patient due to arterial pseudoaneurysm and was treated with embolization. No major complications were seen in the other patients. During a mean follow-up of 19.5 months, anastomotic stricture occurred in 2 patients (1 in combination with a recurrent leak). Both patients were successfully treated with percutaneous methods. The remaining 8 patients had no biliary problems. CONCLUSION: When treating anastomotic bile leaks in liver transplant patients, percutaneous procedures may be performed with high technical success and low complication rates.
Cüneyt Aytekin; Fatih Boyvat; Ali Harman; Umut Ozyer; Sinasi Sevmiş; Mehmet Haberal
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  13     ISSN:  1305-3825     ISO Abbreviation:  -     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-12     Completed Date:  2007-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  IM    
Department of Radiology, Başkent University School of Medicine, Ankara, Turkey.
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MeSH Terms
Anastomosis, Surgical / adverse effects*
Biliary Tract Diseases / epidemiology,  etiology,  radiography*,  therapy*
Child, Preschool
Liver Transplantation / adverse effects*
Middle Aged
Postoperative Complications / epidemiology,  etiology,  radiography,  therapy
Radiography, Interventional
Retrospective Studies
Turkey / epidemiology

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