| Autor: |
Sasaki, Kengo, Ota, Hideki, Miyagi, Shigehito, Tokodai, Kazuaki, Fujio, Atsushi, Kashiwadate, Toshiaki, Miyazawa, Koji, Matsumura, Muneyuki, Saitoh, Yoshikatsu, Kanai, Norifumi, Nishimaki, Hiroyasu, Takase, Kei, Unno, Michiaki, Kamei, Takashi |
| Předmět: |
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| Zdroj: |
Pediatric Transplantation; Mar2022, Vol. 26 Issue 2, p1-6, 6p |
| Abstrakt: |
Background: Endoscopic and PTB interventions are common nonsurgical interventions for biliary anastomotic strictures that occur after liver transplantation. When these nonsurgical interventions fail, surgical re‐anastomosis is considered; however, this is quite invasive and can cause additional injury that may lead to graft loss. We report a case in which conventional nonsurgical interventions failed, but a new method that involve the use of a transseptal needle—a device to create a transseptal left‐heart access during cardiac catheter interventions—was successfully used in recanalization of the hepaticojejunal anastomotic obstruction. Case: A 21‐year‐old man, who had received living‐donor liver transplantation for biliary atresia at the age of 23 months presented with recurrent cholangitis and liver dysfunction due to a biliary anastomotic stricture of the hepaticojejunostomy. Therapeutic interventions for biliary stricture, including the PTB approach, double‐balloon enteroscopic approach, and rendezvous approach failed. We then performed needle puncture of the anastomotic obstruction using a transseptal needle and succeeded in recanalizing the complete anastomotic obstruction. To perform the procedures safely, we evaluated the organ and needle positions using biplane fluoroscopy and placed a balloon in the afferent jejunal limb as a target for puncture. The 12 Fr catheter via the biliary route was removed 7 months after the procedure, without using a catheter, there was no recurrent stricture or cholangitis for 26 months. Conclusion: Using a transseptal needle to manage hepaticojejunal anastomotic obstruction can reduce the number of patients who need surgical re‐anastomosis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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