title: Percutaneous interventional management of biliary complications after pediatric liver transplantation: A 16-year single-institution experience.
abstract: The aim of the study was to investigate the BiCx after the pediatric OLT and to assess the efficacy of the fluoroscopic-guided PBI in the patients with BiCx as compared to the SR. A total of 340 OLTs were performed in 302 patients over the last 16 years. The inclusion criteria were the presence of BS or BL as a complication after OLT. The management of the BiCx was studied. Graft revision, graft loss, and survival were evaluated following PBI and SR. BiCx occurred in 17.1% (58/339) of the transplants; 6.2% (21/339) of transplants demonstrated BL and 12.7% (43/339) of the transplants had BS. Overall graft survival rates at 1 and 3 years in OLT with BL treated with PBI were 75.0% and 68.8% as compared with 75% and 66.7% in OLT treated with SR (P>.05). Overall graft survival rates at 1 and 3 years in OLT with BS treated with PBI were 70.6% and 54.5% as compared with 71.4% and 50% in OLT with SR or ERCP, respectively (P>.05). Based on the results, we conclude that PBI is as effective as SR in patients with the BL and BS after OLT.
authors: Division of Interventional Radiology, Department of Radiology, The University of Tennessee Health Science Center, Memphis, TN, USA.
authors: Hasmukh J
authors: HJ
authors: Prajapati
authors: Division of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
authors: Pavan
authors: P
authors: Kavali
authors: Division of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, USA.|Yale Cancer Center, New Haven, CT, USA.
authors: Hyun S
authors: HS
authors: Kim
mesh_terms: D000293:Adolescent; D001652:Bile Ducts / Q000503:physiopathology* / Q000601:surgery; D001659:Biliary Tract / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005471:Fluoroscopy; D006085:Graft Survival; D006801:Humans; D007223:Infant; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: biliary leak; biliary stricture; orthotopic liver transplantation; pediatric liver transplantation; percutaneous interventional management