The T-tube approach Basket catheter Treatment Of biliary cast syndrome After Liver Transplantation

doi:10.3877/cma.j.issn.2095-5782.2014.03.014

Abstract

Abstract:

Objective

The purpose of the study are evaluated the efficacy of biliary cast syndrome treatment with basket catheter from T-tube approach after liver transplantation.

Methods

39 biliary cast syndrome patients who had the T-tube approach basket catheter treatment between Jan 2008 and May 2013 were studied. All patients had diagnose by T-tube cholangiography. Patients who had stenosis have balloon dilation in same tiome.

Results

29 patients had completely cast removal, 10 patients had premodinantly cast removal.6 patients had repeat treatment because of cast recur. 3 patients had cholangiolitis after treatment.

Conclusion

The T-tube approach basket cathter treatment is a relatively safe procedure with a low complication rate.

Key words: T-tube approach, basket catheter, liver transplantation, biliary cast syndrome

Guang Chen, Hai Jun Gao, Hao Wang, Lian Fang Wen, Peng Hui Wang, Yi Xin Yang. The T-tube approach Basket catheter Treatment Of biliary cast syndrome After Liver Transplantation[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(03): 49-51.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2014.03.014

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2014/V02/I03/49

Figures/Tables 2

References 11

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?	病例数（例）	疗效（例）			再次治疗（例）	术后感染（例）
?	病例数（例）	成功	有效	无效	再次治疗（例）	术后感染（例）
单纯胆泥	22	22	0	0	0	0
吻合口狭窄	4	4	0	0	0	0
肝内胆管狭窄	13	3	10	0	6	3

?	病例数（例）	疗效（例）			再次治疗（例）	术后感染（例）
?	病例数（例）	成功	有效	无效	再次治疗（例）	术后感染（例）
单纯胆泥	22	22	0	0	0	0
吻合口狭窄	4	4	0	0	0	0
肝内胆管狭窄	13	3	10	0	6	3

?	总胆红素		碱性磷酸酶		谷氨酰转肽酶
?	术前	术后	术前	术后	术前	术后
单纯胆泥组	21.65±13.89	17.53±5.15	96.94±36.48	40.77±19.84	55.75±28.55	42.55±18.55
吻合口狭窄组	35.92±19.29	21.91±8.83	172.25±103.39	125.61±109.78	244.32±181.88	105.29±110.46
肝内胆管狭窄组	66.19±54.68	41.28±17.50	253.65±177.25	175.55±117.62	269.73±182.83	172.01±174.11

?	总胆红素		碱性磷酸酶		谷氨酰转肽酶
?	术前	术后	术前	术后	术前	术后
单纯胆泥组	21.65±13.89	17.53±5.15	96.94±36.48	40.77±19.84	55.75±28.55	42.55±18.55
吻合口狭窄组	35.92±19.29	21.91±8.83	172.25±103.39	125.61±109.78	244.32±181.88	105.29±110.46
肝内胆管狭窄组	66.19±54.68	41.28±17.50	253.65±177.25	175.55±117.62	269.73±182.83	172.01±174.11

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