Biliary strictures complicating liver transplantation in pediatric patients: Experience in a South American transplant center

To describe the experience of percutaneous transhepatic cholangiography (PTC) with biliary dilatation and drainage after pediatric liver transplantation and to determine the long-term outcome of this procedure. Methods: Retrospective study from 2001 to 2013. Follow-up after treatment was also undert...

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Autores:
Echeverry Junga, Gabriel Jaime
Caicedo Rusca, Luis Armando
Villegas Otálora, Jorge Iván
Thomas Pérez, Laura Sofia
Botero Osorio, Verónica
Acosta, Diana
Ospina, Laura
Rodriguez-Takeuchi, Sara Yukie
Holguin Holguin, Alfonso José
Tipo de recurso:
Article of investigation
Fecha de publicación:
2017
Institución:
Universidad ICESI
Repositorio:
Repositorio ICESI
Idioma:
eng
OAI Identifier:
oai:repository.icesi.edu.co:10906/81405
Acceso en línea:
https://nebulosa.icesi.edu.co:2615/record/display.uri?eid=2-s2.0-85010669679&origin=resultslist&sort=plf-f&src=s&st1=Biliary+strictures+complicating+liver+transplantation+in+pediatric+patients%3A+Experience+in+a+South+American+transplant+center&st2=&sid=9
http://hdl.handle.net/10906/81405
http://dx.doi.org/10.1111/ctr.12877
Palabra clave:
Ciencias socio biomédicas
Fistula biliar
Trasplante de hígado
Colangiografia
Medical sciences
Rights
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
Description
Summary:To describe the experience of percutaneous transhepatic cholangiography (PTC) with biliary dilatation and drainage after pediatric liver transplantation and to determine the long-term outcome of this procedure. Methods: Retrospective study from 2001 to 2013. Follow-up after treatment was also undertaken. A survival analysis was performed in patients in whom the procedure and eventual removal of the catheter were successful. Results: In all, 196 children received liver transplants; 40 of them (20 boys and 20 girls; median age of 4 years) were treated using PTC due to biliary complications. Sixty-one PTC procedures were performed in 40 liver transplant recipients. Technically successful PTC was achieved in 87.5% of the patients. The probability of a patient not developing unfavorable outcomes 1, 5, and 10 years after treatment was 88.9%, 83.0%, and 74.1%.