| Autor: |
Monroe, Eric J., Shin, David S., Young, Victoria A., Chick, Jeffrey Forris Beecham, Koo, Kevin S. H., Woerner, Andrew, Ingraham, Christopher R. |
| Předmět: |
|
| Zdroj: |
Pediatric Radiology; Mar2022, Vol. 52 Issue 3, p570-586, 17p, 3 Color Photographs, 10 Black and White Photographs, 1 Diagram, 3 Charts, 1 Graph |
| Abstrakt: |
In pediatric liver transplantation, bile duct complications occur with a greater incidence than vascular anastomotic dysfunction and represent a major source of morbidity and mortality. While surgical re-anastomosis can reduce the need for retransplantation, interventional radiology offers minimally invasive and graft-saving therapies. The combination of small patient size and prevailing Roux-en-Y biliary enteric anastomotic techniques makes endoscopic retrograde cholangiopancreatography difficult if not impossible. Expertise in percutaneous management is therefore imperative. This article describes post-surgical anatomy, pathophysiology and noninvasive imaging of biliary complications. We review percutaneous techniques, focusing heavily on biliary access and interventions for reduced liver grafts. Subsequently we review the results and adverse events of these procedures and describe conditions that masquerade as biliary obstruction. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Full text from SpringerLink