Percutaneous radiological biliary interventions after failed endoscopic treatment in living liver donors: experience of a high-volume transplantation center

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridDAĞ, Nurullah/0000-0002-9342-0244
dc.authoridKaratoprak, Sinan/0000-0003-1139-1089
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidDAĞ, Nurullah/GRX-4877-2022
dc.contributor.authorKaratoprak, Sinan
dc.contributor.authorKutlu, Ramazan
dc.contributor.authorKaratoprak, Nur Betul
dc.contributor.authorDag, Nurullah
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:50:45Z
dc.date.available2024-08-04T20:50:45Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThis study aimed to evaluate the role of percutaneous radiological treatments for biliary complications (BCs) in donors after living donor liver transplantation (LDLT). We retrospectively evaluated BCs in donors involved in 1839 LDLTs between May 2009 and January 2019 at our centre. BCs were classified according to the modified Clavien-Dindo classification (MCDC). Patients treated with percutaneous transhepatic biliary intervention (PTBI) were identified. Complications requiring endoscopic, interventional or surgical treatment (MCDC grades III-IV) involved 123 (6.6%) donors. Complications comprised leakage, n = 73 (60%); stricture, n = 36 (29%); and both leakage and stricture, n = 14 (11%). Percutaneous drainage of biloma formations under ultrasound guidance was performed in 57 donors, endoscopic treatment in 83 and PTBI in 14. Of 83 patients who received endoscopic treatment, 13 were referred for PTBI due to failure or uncannulation. Eight of 14 patients were successfully treated with PTBI. Six patients were treated with a rendezvous procedure combining percutaneous and surgical treatments. In 13 patients, no BCs were developed after catheter or stent removal. In donors with BCs, the treatment should progress from the least invasive method to surgery. In some patients, percutaneous radiological treatments eliminate the need for surgery or can guide surgical treatment.en_US
dc.identifier.doi10.1111/tri.14118
dc.identifier.endpage2855en_US
dc.identifier.issn0934-0874
dc.identifier.issn1432-2277
dc.identifier.issue12en_US
dc.identifier.pmid34559926en_US
dc.identifier.scopus2-s2.0-85116894920en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2846en_US
dc.identifier.urihttps://doi.org/10.1111/tri.14118
dc.identifier.urihttps://hdl.handle.net/11616/100259
dc.identifier.volume34en_US
dc.identifier.wosWOS:000706687600001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofTransplant Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectliver donoren_US
dc.subjectbiliary complicationen_US
dc.subjectpercutaneous radiological treatmenten_US
dc.subjectrendezvousen_US
dc.titlePercutaneous radiological biliary interventions after failed endoscopic treatment in living liver donors: experience of a high-volume transplantation centeren_US
dc.typeArticleen_US

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