Successful treatment of severe anastomotic stricture of a choledochojejunostomy after living donor liver transplantation with transhepatic cholangioscopy-guided balloon dilatation.
Anastomotic stricture of the choledochojejunostomy is a common complication after living donor liver transplantation. Most anastomotic strictures can be treated by percutaneous transhepatic cholangiodrainage and/or double balloon endoscopy. However, in severe cases and/or in small infants, neither of these is possible. Our new technique, cholangiography accompanied by cholangioscopy, enabled successful guidewire placement and balloon dilatation in cases with severe anastomotic stricture.
Department of Surgery, Jichi Medical University, Tochigi, Japan. Electronic address: shimitetsu@hotmail.co.jp.
T
T
Shimizu
Department of Surgery, Jichi Medical University, Tochigi, Japan.
T
T
Urahashi
Department of Surgery, Jichi Medical University, Tochigi, Japan.
Y
Y
Ihara
Department of Surgery, Jichi Medical University, Tochigi, Japan.
Y
Y
Kaneda
Department of Surgery, Jichi Medical University, Tochigi, Japan.
A
A
Miki
Department of Surgery, Jichi Medical University, Tochigi, Japan.
Y
Y
Sanada
Department of Surgery, Jichi Medical University, Tochigi, Japan.
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T
Wakiya
Department of Surgery, Jichi Medical University, Tochigi, Japan.
N
N
Okada
Department of Surgery, Jichi Medical University, Tochigi, Japan.
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N
Yamada
Department of Surgery, Jichi Medical University, Tochigi, Japan.
K
K
Mizuta
D002768:Choledochostomy / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors