PERSISTENT BILE LEAK AFTER LIVER-TRANSPLANTATION - BILOMA DRAINAGE AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHIC SPHINCTEROTOMY

被引:25
作者
WARD, EM [1 ]
WIESNER, RH [1 ]
HUGHES, RW [1 ]
KROM, RAF [1 ]
机构
[1] MAYO CLIN & MAYO FDN,TRANSPLANTAT SURG SECT,ROCHESTER,MN 55905
关键词
BILE DUCTS; ENDOSCOPIC DRAINAGE; INTERVENTIONAL PROCEDURE; LEAKAGE; LIVER; TRANSPLANTATION;
D O I
10.1148/radiology.179.3.2027980
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Persistent bile leaks after liver transplantation were successfully treated in three patients with percutaneous or surgical drainage of bilomas and endoscopic retrograde ampullary sphincterotomy. In all three patients, biliary anastomoses were achieved by means of choledocho-choledochostomies, with a T-tube stent in the anastomosis. The bile leaks led to subhepatic bilomas that had persistently high catheter outputs (> 200 mL per 24 hours) for longer than 1 month. Biloma drainage decreased shortly after sphincterotomy.
引用
收藏
页码:719 / 720
页数:2
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