Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022
A pesar del avance en las tecnologías y técnicas quirúrgicas, la morbilidad y mortalidad post trasplante hepático siguen siendo altas y las complicaciones biliares la causa más frecuente con una incidencia global entre el 15% y el 25% y mortalidad asociada del 10%. El objetivo del presente estudio e...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2023
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- spa
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/42079
- Acceso en línea:
- https://doi.org/10.48713/10336_42079
https://repository.urosario.edu.co/handle/10336/42079
- Palabra clave:
- Trasplante de Hígado
Complicación biliar
Estenosis biliar
Colangioscopia
Colangiopancreatografía Retrógrada Endoscópica
Liver transplantation
Biliary complications
Biliary strictures
Cholangioscopy
Endoscopic retrograde cholangiopancreatography
- Rights
- License
- Attribution-NonCommercial-ShareAlike 4.0 International
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oai:repository.urosario.edu.co:10336/42079 |
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EDOCUR2 |
network_name_str |
Repositorio EdocUR - U. Rosario |
repository_id_str |
|
dc.title.none.fl_str_mv |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
title |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
spellingShingle |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 Trasplante de Hígado Complicación biliar Estenosis biliar Colangioscopia Colangiopancreatografía Retrógrada Endoscópica Liver transplantation Biliary complications Biliary strictures Cholangioscopy Endoscopic retrograde cholangiopancreatography |
title_short |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
title_full |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
title_fullStr |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
title_full_unstemmed |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
title_sort |
Manejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022 |
dc.contributor.advisor.none.fl_str_mv |
Hernández, Geovanny Barragán González, Ana María |
dc.subject.none.fl_str_mv |
Trasplante de Hígado Complicación biliar Estenosis biliar Colangioscopia Colangiopancreatografía Retrógrada Endoscópica |
topic |
Trasplante de Hígado Complicación biliar Estenosis biliar Colangioscopia Colangiopancreatografía Retrógrada Endoscópica Liver transplantation Biliary complications Biliary strictures Cholangioscopy Endoscopic retrograde cholangiopancreatography |
dc.subject.keyword.none.fl_str_mv |
Liver transplantation Biliary complications Biliary strictures Cholangioscopy Endoscopic retrograde cholangiopancreatography |
description |
A pesar del avance en las tecnologías y técnicas quirúrgicas, la morbilidad y mortalidad post trasplante hepático siguen siendo altas y las complicaciones biliares la causa más frecuente con una incidencia global entre el 15% y el 25% y mortalidad asociada del 10%. El objetivo del presente estudio es describir el manejo de las complicaciones biliares y los resultados endoscópicos en los pacientes post trasplante hepático que fueron tratados mediante colangioscopia en un centro referente de trasplante hepático de Colombia en los años 2020 a 2022 |
publishDate |
2023 |
dc.date.created.none.fl_str_mv |
2023-12-01 |
dc.date.accessioned.none.fl_str_mv |
2024-01-30T15:32:34Z |
dc.date.available.none.fl_str_mv |
2024-01-30T15:32:34Z |
dc.type.none.fl_str_mv |
bachelorThesis |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
dc.type.document.none.fl_str_mv |
Trabajo de grado |
dc.type.spa.none.fl_str_mv |
Trabajo de grado |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.48713/10336_42079 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/42079 |
url |
https://doi.org/10.48713/10336_42079 https://repository.urosario.edu.co/handle/10336/42079 |
dc.language.iso.none.fl_str_mv |
spa |
language |
spa |
dc.rights.*.fl_str_mv |
Attribution-NonCommercial-ShareAlike 4.0 International |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.acceso.none.fl_str_mv |
Abierto (Texto Completo) |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-sa/4.0/ |
rights_invalid_str_mv |
Attribution-NonCommercial-ShareAlike 4.0 International Abierto (Texto Completo) http://creativecommons.org/licenses/by-nc-sa/4.0/ http://purl.org/coar/access_right/c_abf2 |
dc.format.extent.none.fl_str_mv |
57 pp |
dc.format.mimetype.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidad del Rosario |
dc.publisher.department.none.fl_str_mv |
Escuela de Medicina y Ciencias de la Salud |
dc.publisher.program.none.fl_str_mv |
Especialización en Gastroenterología |
publisher.none.fl_str_mv |
Universidad del Rosario |
institution |
Universidad del Rosario |
dc.source.bibliographicCitation.none.fl_str_mv |
Burra P, Burroughs A, Graziadei I, Pirenne J, Valdecasas JC, Muiesan P, et al. EASL Clinical Practice Guidelines: Liver transplantation. J Hepatol [Internet]. 2016 Feb 1 [cited 2022 Aug 25];64(2):433–85. Available from: http://www.journal-of-hepatology.eu/article/S0168827815006777/fulltext Samuel D, Coilly A. Management of patients with liver diseases on the waiting list for transplantation: a major impact to the success of liver transplantation. BMC Med [Internet]. 2018 Aug 1 [cited 2022 Aug 25];16(1). Available from: https://pubmed.ncbi.nlm.nih.gov/30064414/ Boeva I, Karagyozov PI, Tishkov I. Post-liver transplant biliary complications: Current knowledge and therapeutic advances. World J Hepatol [Internet]. 2021 Jan 1 [cited 2022 Aug 25];13(1):66. Available from: /pmc/articles/PMC7856868/ Moy BT, Birk JW. A Review on the Management of Biliary Complications after Orthotopic Liver Transplantation. J Clin Transl Hepatol [Internet]. 2019 [cited 2022 Aug 25];7(1):61–71. Available from: http://www.jcthnet.com Rizk RS, McVicar JP, Emond MJ, Rohrmann J, Kowdley K V., Perkins J, et al. Endoscopic management of biliary strictures in liver transplant recipients: effect on patient and graft survival. Gastrointest Endosc [Internet]. 1998 [cited 2022 Aug 25];47(2):128–35. Available from: https://pubmed.ncbi.nlm.nih.gov/9512276/ Balderramo D, Bordas JM, Sendino O, Abraldes JG, Navasa M, Llach J, et al. Complications after ERCP in liver transplant recipients. Gastrointest Endosc [Internet]. 2011 Aug 1 [cited 2022 Aug 25];74(2):285–94. Available from: http://www.giejournal.org/article/S0016510711016348/fulltext Mahnke D, Chen YK, Antillon MR, Brown WR, Mattison R, Shah RJ. A Prospective Study of Complications of Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound in an Ambulatory Endoscopy Center. Clin Gastroenterol Hepatol [Internet]. 2006 Jul 1 [cited 2022 Aug 25];4(7):924–30. Available from: http://www.cghjournal.org/article/S154235650600423X/fulltext Yodice M, Choma J, Tadros M. The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders. Diagnostics 2020, Vol 10, Page 132 [Internet]. 2020 Feb 29 [cited 2022 Aug 25];10(3):132. Available from: https://www.mdpi.com/2075-4418/10/3/132/htm Parsi MA. Peroral cholangioscopy in the new millennium. World J Gastroenterol [Internet]. 2011 [cited 2022 Aug 25];17(1). Available from: http://www.wjgnet.com/1007-9327/full/v17/i1/1.htmDOI:http://dx.doi.org/10.3748/wjg.v17.i1.1 Akamatsu N, Sugawara Y, Hashimoto D. Biliary reconstruction, its complications and management of biliary complications after adult liver transplantation: a systematic review of the incidence, risk factors and outcome. Transpl Int [Internet]. 2011 Apr [cited 2022 Oct 16];24(4):379–92. Available from: https://pubmed.ncbi.nlm.nih.gov/21143651/ Lladó L, Figueras J. Techniques of orthotopic liver transplantation. HPB (Oxford) [Internet]. 2004 [cited 2022 Oct 16];6(2):69. Available from: /pmc/articles/PMC2020659/ Welling TH, Heidt DG, Englesbe MJ, Magee JC, Sung RS, Campbell DA, et al. Biliary complications following liver transplantation in the model for end-stage liver disease era: effect of donor, recipient, and technical factors. Liver Transpl [Internet]. 2008 Jan [cited 2022 Oct 16];14(1):73–80. Available from: https://pubmed.ncbi.nlm.nih.gov/18161843/ Shah SA, Grant DR, McGilvray ID, Greig PD, Selzner M, Lilly LB, et al. Biliary strictures in 130 consecutive right lobe living donor liver transplant recipients: results of a Western center. Am J Transplant [Internet]. 2007 Jan [cited 2022 Oct 16];7(1):161–7. Available from: https://pubmed.ncbi.nlm.nih.gov/17227565/ Zimmerman MA, Baker T, Goodrich NP, Freise C, Hong JC, Kumer S, et al. Development, management, and resolution of biliary complications after living and deceased donor liver transplantation: a report from the adult-to-adult living donor liver transplantation cohort study consortium. Liver Transpl [Internet]. 2013 Mar [cited 2022 Oct 16];19(3):259–67. Available from: https://pubmed.ncbi.nlm.nih.gov/23495079/ Graziadei IW, Schwaighofer H, Koch R, Nachbaur K, Koenigsrainer A, Margreiter R, et al. Long-term outcome of endoscopic treatment of biliary strictures after liver transplantation. Liver Transpl [Internet]. 2006 May [cited 2022 Oct 16];12(5):718–25. Available from: https://pubmed.ncbi.nlm.nih.gov/16482553/ Lee HW, Shah NH, Lee SK. An Update on Endoscopic Management of Post-Liver Transplant Biliary Complications. Clin Endosc [Internet]. 2017 Sep 1 [cited 2022 Aug 13];50(5):451–63. Available from: https://pubmed.ncbi.nlm.nih.gov/28415168/ Greif F, Bronsther OL, Van Thiel DH, Casavilla A, Lwatsuki S, Tzakis A, et al. The Incidence, Timing, and Management of Biliary Tract Complications After Orthotopic Liver Transplantation. Ann Surg. 1994;219(1):40–5. Tashiro H, Itamoto T, Sasaki T, Ohdan H, Fudaba Y, Amano H, et al. Biliary Complications after Duct-to-duct Biliary Reconstruction in Living-donor Liver Transplantation: Causes and Treatment. World J Surg 2007 3111 [Internet]. 2007 Sep 22 [cited 2022 Oct 16];31(11):2222–9. Available from: https://link.springer.com/article/10.1007/s00268-007-9217-x Colonna JO, Shaked A, Gomes AS, Colquhoun SD, Jurim O, McDiarmid S V., et al. Biliary strictures complicating liver transplantation. Incidence, pathogenesis, management, and outcome. Ann Surg [Internet]. 1992 [cited 2022 Oct 16];216(3):344. Available from: /pmc/articles/PMC1242622/?report=abstract Tabibian JH, Girotra M, Yeh HC, Segev DL, Gulsen MT, Cengiz-Seval G, et al. Sirolimus based immunosuppression is associated with need for early repeat therapeutic ERCP in liver transplant patients with anastomotic biliary stricture. Ann Hepatol. 2013 Jul 1;12(4):395–401. Girotra M, Soota K, Klair JS, Dang SM, Aduli Mohit Girotra F, Aduli F, et al. Endoscopic management of post-liver transplant biliary complications. World J Gastrointest Endosc [Internet]. 2015 [cited 2022 Aug 13];7(5):446–59. Available from: http://www.wjgnet.com/1948-5190/full/v7/i5/446.htmDOI:http://dx.doi.org/10.4253/wjge.v7.i5.446http://www.wjgnet.com/esps/HelpDesk:http://www.wjgnet.com/esps/helpdesk.aspx Guichelaar MMJ, Benson JT, Malinchoc M, Kroma RAF, Wiesner RH, Charlton MR. Risk factors for and clinical course of non-anastomotic biliary strictures after liver transplantation. Am J Transplant [Internet]. 2003 Jul [cited 2022 Oct 16];3(7):885–90. Available from: https://pubmed.ncbi.nlm.nih.gov/12814481/ Balderramo D, Navasa M, Cardenas A. Manejo actual de las complicaciones biliares tras un trasplante hepático: hincapié en el tratamiento endoscópico. Gastroenterol Hepatol. 2011 Feb;34(2):107–15. Mahajani R V., Cotler SJ, Uzer MF. Efficacy of endoscopic management of anastomotic biliary strictures after hepatic transplantation. Endoscopy [Internet]. 2000 [cited 2022 Oct 16];32(12):943–9. Available from: http://www.thieme-connect.com/products/ejournals/html/10.1055/s-2000-9619 Arain MA, Attam R, Freeman ML. Advances in endoscopic management of biliary tract complications after liver transplantation. Liver Transplant. 2013 May;19(5):482–98. Kim TH, Lee SK, Han JH, Park DH, Lee SS, Seo DW, et al. The role of endoscopic retrograde cholangiography for biliary stricture after adult living donor liver transplantation: Technical aspect and outcome. http://dx.doi.org/103109/003655212010522722 [Internet]. 2011 Feb [cited 2022 Oct 16];46(2):188–96. Available from: https://www.informahealthcare.com/doi/abs/10.3109/00365521.2010.522722 Tabibian JH, Asham EH, Han S, Saab S, Tong MJ, Goldstein L, et al. Endoscopic treatment of postorthotopic liver transplantation anastomotic biliary strictures with maximal stent therapy (with video). Gastrointest Endosc [Internet]. 2010 Mar 1 [cited 2022 Oct 16];71(3):505–12. Available from: http://www.giejournal.org/article/S0016510709026091/fulltext Holt AP, Thorburn D, Mirza D, Gunson B, Wong T, Haydon G. A prospective study of standardized nonsurgical therapy in the management of biliary anastomotic strictures complicating liver transplantation. Transplantation [Internet]. 2007 Oct [cited 2022 Oct 16];84(7):857–63. Available from: https://journals.lww.com/transplantjournal/Fulltext/2007/10150/A_Prospective_Study_of_Standardized_Nonsurgical.9.aspx Zoepf T, Maldonado-Lopez EJ, Malago M, Broelsch CE, Treichel U, Gerken G. Balloon dilatation vs. balloon dilatation plus bile duct endoprostheses for treatment of anastomotic biliary strictures after liver transplantation. Liver Transplant [Internet]. 2006 Jan 1 [cited 2022 Oct 16];12(1):88–94. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/lt.20548 Verdonk RC, Buis CI, van der Jagt EJ, Gouw ASH, Limburg AJ, Slooff MJH, et al. Nonanastomotic biliary strictures after liver transplantation, part 2: Management, outcome, and risk factors for disease progression. Liver Transplant [Internet]. 2007 May 1 [cited 2022 Oct 16];13(5):725–32. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/lt.21165 Park JS, Kim MH, Lee SK, Seo DW, Lee SS, Han J, et al. Efficacy of endoscopic and percutaneous treatments for biliary complications after cadaveric and living donor liver transplantation. Gastrointest Endosc [Internet]. 2003 Jan 1 [cited 2022 Oct 16];57(1):78–85. Available from: http://www.giejournal.org/article/S0016510703701199/fulltext Sheng R, Sammon JK, Zajko AB, Campbell WL. Bile leak after hepatic transplantation: cholangiographic features, prevalence, and clinical outcome. https://doi.org/101148/radiology19228029406 [Internet]. 1994 Aug 1 [cited 2022 Oct 17];192(2):413–6. Available from: https://pubs.rsna.org/doi/10.1148/radiology.192.2.8029406 Kochhar G, Parungao JM, Hanouneh IA, Parsi MA. Biliary complications following liver transplantation. World J Gastroenterol [Internet]. 2013 [cited 2022 Oct 17];19:2841–6. Available from: http://www.wjgnet.com/esps/ Oh D, Lee SK, Song TJ, Park DH, Lee SS, Seo DW, et al. Endoscopic Management of Bile Leakage after Liver Transplantation. Gut Liver [Internet]. 2015 May 1 [cited 2022 Oct 17];9(3):417. Available from: /pmc/articles/PMC4413977/ Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, et al. Endoscopic biliary stenting: Indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017. Endoscopy [Internet]. 2018 [cited 2022 Oct 17];50(9):910–30. Available from: http://www.thieme-connect.com/products/ejournals/html/10.1055/a-0659-9864 Irani S, Baron TH, Law R, Akbar A, Ross AS, Gluck M, et al. Endoscopic treatment of nonstricture-related benign biliary diseases using covered self-expandable metal stents. Endoscopy [Internet]. 2014 Dec 18 [cited 2022 Oct 17];27(04):315–21. Available from: http://www.thieme-connect.com/products/ejournals/html/10.1055/s-0034-1391093 Spier BJ, Pfau PR, Lorenze KR, Knechtle SJ, Said A. Risk factors and outcomes in post-liver transplantation bile duct stones and casts: A case-control study. Liver Transpl [Internet]. 2008 [cited 2022 Oct 17];14(10):1461–5. Available from: https://pubmed.ncbi.nlm.nih.gov/18825682/ Sheng R, Ramirez CB, Zajko AB, Campbell WL. Biliary stones and sludge in liver transplant patients: a 13-year experience. https://doi.org/101148/radiology19818539387 [Internet]. 1996 Jan 1 [cited 2022 Oct 17];198(1):243–7. Available from: https://pubs.rsna.org/doi/10.1148/radiology.198.1.8539387 Gürakar A, Wright H, Camci C, Jaboour N. The application of SpyScope® technology in evaluation of pre and post liver transplant biliary problems. Turk J Gastroenterol [Internet]. 2010 Dec [cited 2022 Oct 17];21(4):428–32. Available from: https://pubmed.ncbi.nlm.nih.gov/21331998/ Nam K, Lee SK, Song TJ, Park DH, Lee SS, Seo DW, et al. Percutaneous transhepatic cholangioscopy for biliary complications after liver transplantation: a single center experience. J Hepatobiliary Pancreat Sci [Internet]. 2016 Oct 1 [cited 2022 Aug 13];23(10):650–7. Available from: https://pubmed.ncbi.nlm.nih.gov/27474863/ Chatterjee S, Das D, Hudson M, Bassendine MF, Scott J, Oppong KE, et al. Mucocele of the Cystic Duct Remnant After Orthotopic Liver Transplant: A Problem Revisited. Park TY, Lee SK, Nam K, Oh D, Song TJ, Park DH, et al. Spontaneous hemobilia after liver transplantation: Frequency, risk factors, and outcome of endoscopic management. J Gastroenterol Hepatol [Internet]. 2017 Mar 1 [cited 2022 Oct 17];32(3):583–8. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/jgh.13497 Parsi MA. Hemobilia: endoscopic, fluoroscopic, and cholangioscopic diagnosis. Hepatology [Internet]. 2010 Dec [cited 2022 Oct 17];52(6):2237–8. Available from: https://pubmed.ncbi.nlm.nih.gov/21105096/ Urakami Y, Seifert E, Butke H. Peroral Direct Cholangioscopy (PDCS) Using Routine Straight-view Endoscope: First Report. Endoscopy [Internet]. 1977 [cited 2022 Oct 17];9(1):27–30. Available from: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0028-1098481 Choi JH, Lee SK. Percutaneous Transhepatic Cholangioscopy: Does Its Role Still Exist? Clin Endosc [Internet]. 2013 [cited 2022 Oct 17];46:529–36. Available from: http://dx.doi.org/10.5946/ce.2013.46.5.529 46. Farrell JJ, Bounds BC, Al-Shalabi S, Jacobson BC, Brugge WR, Schapiro RH, et al. Single-operator duodenoscope-assisted cholangioscopy is an effective alternative in the management of choledocholithiasis not removed by conventional methods, including mechanical lithotripsy. Endoscopy [Internet]. 2005 Jun [cited 2022 Oct 17];37(6):542–7. Available from: https://pubmed.ncbi.nlm.nih.gov/15933927/ Ghersi S, Fuccio L, Bassi M, Fabbri C, Cennamo V. Current status of peroral cholangioscopy in biliary tract diseases. World J Gastrointest Endosc [Internet]. 2015 May 5 [cited 2022 Oct 17];7(5):510. Available from: /pmc/articles/PMC4436918/ Martins FP, Ferrari AP. Cholangioscopy-assisted guidewire placement in post-liver transplant anastomotic biliary stricture: Efficient and potentially also cost-effective. Endoscopy [Internet]. 2017 Nov 1 [cited 2022 Oct 17];49(11):E283–4. Available from: http://www.thieme-connect.de/products/ejournals/html/10.1055/s-0043-117940 Woo YS, Lee JK, Noh DH, Park JK, Lee KH, Lee KT. SpyGlass cholangioscopy-assisted guidewire placement for post-LDLT biliary strictures: a case series. Surg Endosc [Internet]. 2015 Dec 18 [cited 2022 Oct 17];30(9):3897–903. Available from: https://europepmc.org/article/med/26684207 Hüsing-Kabar A, Heinzow HS, Schmidt HHJ, Stenger C, Gerth HU, Pohlen M, et al. Single-operator cholangioscopy for biliary complications in liver transplant recipients. World J Gastroenterol [Internet]. 2017 Jun 14 [cited 2022 Oct 18];23(22):4064–71. Available from: https://pubmed.ncbi.nlm.nih.gov/28652659/ Yu JF, Zhang DL, Wang Y Bin, Hao JY. Digital single-operator cholangioscopy for biliary stricture after cadaveric liver transplantation. World J Gastrointest Oncol [Internet]. 2022 [cited 2022 Oct 18];14(5):1037–49. Available from: https://pubmed.ncbi.nlm.nih.gov/35646282/ Franzini T, Sagae VMT, Guedes HG, Sakai P, Waisberg DR, Andraus W, et al. Cholangioscopy-guided steroid injection for refractory post liver transplant anastomotic strictures: a rescue case series. Ther Adv Gastrointest Endosc [Internet]. 2019 Aug 27 [cited 2022 Oct 18];12. Available from: https://journals.sagepub.com/doi/10.1177/2631774519867786?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed |
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Hernández, Geovannyb9bdc97b-e718-413b-8c92-857cd16071e7-1Barragán González, Ana María52666902600Campy Guerrero, Juan ManuelEspecialista en GastroenterologíaMaestríaFull timeff0d0513-911b-4dd4-8dc9-1dd8b2dd51ce-12024-01-30T15:32:34Z2024-01-30T15:32:34Z2023-12-01A pesar del avance en las tecnologías y técnicas quirúrgicas, la morbilidad y mortalidad post trasplante hepático siguen siendo altas y las complicaciones biliares la causa más frecuente con una incidencia global entre el 15% y el 25% y mortalidad asociada del 10%. El objetivo del presente estudio es describir el manejo de las complicaciones biliares y los resultados endoscópicos en los pacientes post trasplante hepático que fueron tratados mediante colangioscopia en un centro referente de trasplante hepático de Colombia en los años 2020 a 2022Despite the advance in surgical technologies and techniques, post-liver transplant morbidity and mortality remain high and biliary complications are the most frequent cause with an overall incidence between 15% and 25% and associated mortality of 10%. The objective of the present study is to describe the management of biliary complications and endoscopic results in post-liver transplant patients who were treated by cholangioscopy in a leading liver transplant center in Colombia in the years 2020 to 2022.57 ppapplication/pdfhttps://doi.org/10.48713/10336_42079https://repository.urosario.edu.co/handle/10336/42079spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludEspecialización en GastroenterologíaAttribution-NonCommercial-ShareAlike 4.0 InternationalAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. 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Available from: https://journals.sagepub.com/doi/10.1177/2631774519867786?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmedinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURTrasplante de HígadoComplicación biliarEstenosis biliarColangioscopiaColangiopancreatografía Retrógrada EndoscópicaLiver transplantationBiliary complicationsBiliary stricturesCholangioscopyEndoscopic retrograde cholangiopancreatographyManejo de complicaciones biliares post-trasplante hepático mediante colangioscopia. Centro referente de trasplante hepático, Colombia, 2022bachelorThesisTrabajo de gradoTrabajo de gradohttp://purl.org/coar/resource_type/c_7a1fEscuela de Medicina y Ciencias de la SaludORIGINALComplicaciones_biliares_post_trasplantes_Campy_Guerrero_Juan_Manuel.pdfComplicaciones_biliares_post_trasplantes_Campy_Guerrero_Juan_Manuel.pdfapplication/pdf569588https://repository.urosario.edu.co/bitstreams/a507837f-9112-4313-a050-90976d769973/download1c79b242df3ffcd8b26e85d0e0e37d34MD53LICENSElicense.txtlicense.txttext/plain1483https://repository.urosario.edu.co/bitstreams/50224c95-edfb-4889-9942-e85fba130069/downloadb2825df9f458e9d5d96ee8b7cd74fde6MD52CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81160https://repository.urosario.edu.co/bitstreams/5abb7344-e3c0-41a5-8e79-b0e08d119e69/download5643bfd9bcf29d560eeec56d584edaa9MD54TEXTComplicaciones_biliares_post_trasplantes_Campy_Guerrero_Juan_Manuel.pdf.txtComplicaciones_biliares_post_trasplantes_Campy_Guerrero_Juan_Manuel.pdf.txtExtracted texttext/plain88049https://repository.urosario.edu.co/bitstreams/899e4170-dc28-4809-ac35-c31213547503/downloadeac39299bf2af25b206ab1a4c5285e91MD55THUMBNAILComplicaciones_biliares_post_trasplantes_Campy_Guerrero_Juan_Manuel.pdf.jpgComplicaciones_biliares_post_trasplantes_Campy_Guerrero_Juan_Manuel.pdf.jpgGenerated Thumbnailimage/jpeg2166https://repository.urosario.edu.co/bitstreams/3ecee72e-be7b-4d29-9d80-ecef61220383/download23cd803df47ca119e87531e07d2a2b98MD5610336/42079oai:repository.urosario.edu.co:10336/420792024-07-24 16:32:54.635http://creativecommons.org/licenses/by-nc-sa/4.0/Attribution-NonCommercial-ShareAlike 4.0 Internationalhttps://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.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 |