Biliary strictures complicating liver transplantation in pediatric patients: Experience in a South American transplant center. Issue 2 (February 2017)

• Record Type: Journal Article
• Authors: Holguin, Alfonso J.; Rodriguez‐Takeuchi, Sara; Ospina, Laura; Acosta, Diana; Botero, Veronica; Thomas, Laura; Villegas, Jorge; Echeverry, Gabriel J.; Caicedo, Luis
• Is Part Of: Clinical transplantation. Volume 31:Issue 2(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2017-02
• Subjects: biliary fistula -- biliary tract -- cholangiography -- liver transplantation -- stenosis; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ctr.12877
• Languages: English
• ISSNs: 0902-0063

Abstract

Abstract: Objective: 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%.