Endoscopic treatment of biliary complications after duct-to-duct biliary anastomosis in pediatric liver transplantation

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dc.authoriderdogan, mehmet ali/0000-0002-1713-5695
dc.authoridbilgic, yılmaz/0000-0002-2169-5548
dc.authoridHarputluoglu, Muhsin Murat Muhip/0000-0002-9415-147X
dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridDertli, Ramazan/0000-0002-6205-8983
dc.authorwosiderdogan, mehmet ali/ABI-4675-2020
dc.authorwosidDertli, Ramazan/JAN-8786-2023
dc.authorwosidDertli, Ramazan/AAG-8764-2020
dc.authorwosidbilgic, yılmaz/ABI-6432-2020
dc.authorwosidHarputluoglu, Muhsin Murat Muhip/ABI-3094-2020
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.contributor.authorHarputluoglu, M.
dc.contributor.authorDemirel, U.
dc.contributor.authorCaliskan, A. R.
dc.contributor.authorSelimoglu, A.
dc.contributor.authorBilgic, Y.
dc.contributor.authorAladag, M.
dc.contributor.authorErdogan, M. A.
dc.date.accessioned2024-08-04T20:46:04Z
dc.date.available2024-08-04T20:46:04Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground Studies reporting outcomes of endoscopic treatment methods in children who underwent liver transplantation (LT) is very limited. We present our outcomes, as a high-volume transplant center where endoscopic methods are preferred as the first choice in the treatment of biliary complications in children. Methods Patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) as the first treatment approach for biliary complications after LT between 2005 and 2017 were included. Clinical data included patient demographics, ERCP indications (stricture or leak), and treatment outcomes, including the need for percutaneous and surgical intervention. Results ERCP was performed in 49 patients who had a duct-to-duct anastomosis (38 living donor liver transplantation (LDLT), 11 deceased donor liver transplantation (DDLT)). The most common biliary complication was stricture. Our endoscopic success rate was 66.7% (18/27) and 75% (6/8) in LDLT and DDLT patients with stricture (p > 0.05), respectively. While our endoscopic success rate was 75% (3/4) in patients with leak alone after LDLT, it was 25% (1/4) in patients with leak and stricture in this group. The endoscopic success rate was 50% in two patients who had leak alone after DDLT. Conclusions ERCP should be considered as a preferential treatment option for the management of biliary complications in pediatric liver transplant patients with duct-to-duct anastomosis, as in adults.en_US
dc.identifier.doi10.1007/s00423-019-01804-y
dc.identifier.endpage883en_US
dc.identifier.issn1435-2443
dc.identifier.issn1435-2451
dc.identifier.issue7en_US
dc.identifier.pmid31327033en_US
dc.identifier.scopus2-s2.0-85069471459en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage875en_US
dc.identifier.urihttps://doi.org/10.1007/s00423-019-01804-y
dc.identifier.urihttps://hdl.handle.net/11616/98877
dc.identifier.volume404en_US
dc.identifier.wosWOS:000502436900010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofLangenbecks Archives of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPediatricsen_US
dc.subjectLiver transplantationen_US
dc.subjectBiliary complicationsen_US
dc.subjectEndoscopic retrograde cholangiopancreatographyen_US
dc.titleEndoscopic treatment of biliary complications after duct-to-duct biliary anastomosis in pediatric liver transplantationen_US
dc.typeArticleen_US

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