内镜下多塑料支架置入治疗活体肝移植术后胆管狭窄
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:


Endoscopic deployment of multiple plastic stents for biliary stricture after living donor liver transplantation
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 探讨内镜下多塑料支架置入治疗活体肝移植术后胆管狭窄的安全性与长期疗效。方法 2005年6月至2012年6月,共31例活体肝移植术后胆管狭窄患者接受内镜逆行胆胰管造影(ERCP)及多塑料支架置入治疗,记录内镜治疗技术成功率和ERCP相关并发症,对患者进行随访并观察支架维持时间、狭窄消除率和狭窄持续消除率。结果 ERCP证实单纯胆管吻合口狭窄22例,胆管吻合口狭窄合并胆漏9例。27例成功置入塑料支架,内镜治疗技术成功率为87.1%(27/31)。ERCP并发症包括急性胰腺炎1例,急性胆管炎2例,支架部分移位2例,无操作相关死亡发生,支架中位维持时间为9.6个月,狭窄消除率为95%(19/20),狭窄持续消除率为88.2%(15/17;随访5~43个月,中位随访期38个月)。 结论 内镜下多塑料支架置入治疗活体肝移植术后胆管狭窄是安全、有效的方法,其长期疗效满意,可成为活体肝移植术后胆管狭窄的一线治疗方法。

    Abstract:

    Objective To evaluate the safety and long-term outcomes of endoscopic deployment of multiple plastic stents for treatment of biliary stricture after living donor liver transplantation (LDLT). Methods Between June 2005 and June 2012, 31 patients with biliary strictures after LDLT received endoscopic retrograde cholangiopancreatography(ERCP) and multiple plastic stents placement. The technical success rate and ERCP-related complications were observed. The patients were followed up and the duration of stents treatment, stricture eliminating rate, and sustained clinical success rate were recorded. Results The ERCP findings revealed stricture in 22 cases and stricture plus leakage in 9. The endoscopic technical success rate was 87.1% (27/31). ERCP-related complications included acute pancreatitis in 1 case, acute cholangitis 2 and partial stent migration in 2. There were no procedure-related deaths. The median period from stent deployment to removal was 9.6 months. The stricture eliminating rate was 95% (19/20) and sustained clinical success rate was 88.2% (15/17) during a follow-up of 5-43 months (median 38 months). Conclusion Endoscopic deployment of multiple plastic stents is safe and effective for biliary stricture after LDLT, with acceptable long-term outcomes, and the method may be a first-line therapy option for biliary stricture after LDLT.

    参考文献
    相似文献
    引证文献
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2013-01-23
  • 最后修改日期:2013-03-01
  • 录用日期:2013-03-18
  • 在线发布日期: 2013-03-25
  • 出版日期:
文章二维码
重要通知
友情提醒: 近日发现论文正式见刊或网络首发后,有人冒充我刊编辑部名义给作者发邮件,要求添加微信,此系诈骗行为!可致电编辑部核实:021-81870792。
            《海军军医大学学报》编辑部
关闭