title: Cutting balloon treatment of anastomotic biliary stenosis after liver transplantation: Report of two cases.
abstract: Biliary stenosis is a common complication after liver transplantation, and has an incidence rate ranging from 4.7% to 12.5% based on our previous study. Three types of biliary stenosis (anastomotic stenosis, non-anastomotic peripheral stenosis and non-anastomotic central hilar stenosis) have been identified. We report the outcome of two patients with anastomotic stricture after liver transplantation who underwent successful cutting balloon treatment. Case 1 was a 40-year-old male transplanted due to subacute fulminant hepatitis C. Case 2 was a 57-year-old male transplanted due to hepatitis B virus-related end-stage cirrhosis associated with hepatocellular carcinoma. Both patients had similar clinical scenarios: refractory anastomotic stenosis after orthotopic liver transplantation and failure of balloon dilation of the common bile duct to alleviate biliary stricture.
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Fan
authors.initials: F
authors.lastname: Ding
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Tang
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Chi
authors.initials: C
authors.lastname: Xu
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Zai-Bo
authors.initials: ZB
authors.lastname: Jiang
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Shu-Hong
authors.initials: SH
authors.lastname: Yi
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Li
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Nan
authors.initials: N
authors.lastname: Jiang
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Wen-Jie
authors.initials: WJ
authors.lastname: Chen
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Yang
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Fan Ding, Hui Tang, Chi Xu, Shu-Hong Yi, Hua Li, Nan Jiang, Qing Yang, Yang Yang, Gui-Hua Chen, Department of Hepatic Surgery and Liver Transplantation Center of The Third Affiliated Hospital, Organ Transplantation Institute, Sun Yat-Sen University, Guangzhou 510630, Guangdong Province, China.
authors.forename: Gui-Hua
authors.initials: GH
authors.lastname: Chen
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000473:pathology / Q000601:surgery; D002404:Catheterization / Q000295:instrumentation*; D002758:Cholangiography; D003135:Common Bile Duct / Q000601:surgery; D003251:Constriction, Pathologic / Q000097:blood / Q000209:etiology / Q000601:surgery*; D006515:Hepatitis B virus / Q000302:isolation & purification; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000821:virology; D008113:Liver Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control / Q000601:surgery*; D011537:Pruritus / Q000209:etiology; D017211:Treatment Failure; D016896:Treatment Outcome
keywords: Anastomotic; Balloon dilation; Biliary stenosis; Cholangiography; Cutting balloon; Liver transplantation