The Classification of Biliary Strictures in Patients With Right-Lobe Liver Transplant Recipients and Its Relation to Traversing the Stricture With a Guidewire

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridSimsek, Cem/0000-0002-7037-5233
dc.authoridAKINCI, Devrim/0000-0002-8189-4688
dc.authorwosidUNAL, EMRE/I-9181-2013
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidSimsek, Cem/AEY-3461-2022
dc.authorwosidSimsek, Cem/AAG-7290-2019
dc.authorwosidEminler, Ahmet Tarik/GLS-4035-2022
dc.contributor.authorParlak, Erkan
dc.contributor.authorSimsek, Cem
dc.contributor.authorKoksal, Aydin Seref
dc.contributor.authorEminler, Ahmet Tarik
dc.contributor.authorUnal, Emre
dc.contributor.authorCiftci, Turkmen Turan
dc.contributor.authorAkinci, Devrim
dc.date.accessioned2024-08-04T20:51:38Z
dc.date.available2024-08-04T20:51:38Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground. Traversing the stricture with a guidewire is a prerequisite for the endoscopic treatment of biliary strictures after living donor liver transplantation. We aimed to evaluate the effect of variations in the biliary anastomosis and strictures on the success of endoscopic treatment and suggest a cholangiographic classification. Methods. The 125 strictures among the 104 patients with right-lobe living donor liver transplantation were reviewed. The strictures were classified by the anastomosis pattern according to the number (1, 2, or >2), location (common bile, hepatic, or cystic duct), the angle between the proximal and distal sites of the anastomosis, and the contrast enhancement pattern. The relationship between the success rate of traversing the anastomosis and the classification was evaluated. Results. Of the 125 biliary strictures, 86 (68.8%) could be passed via endoscopically. Thirty-three strictures were managed either percutaneously (n = 13) or by magnetic compression anastomosis (n = 20). Compared with the round, the triangular (odds ratio [OR], 6.5), the intermediate form (OR, 17.7), and the end-to-side anastomosis (OR, 5.1) were associated with an increased chance of traversing. The contrast enhancement pattern of the strictures and the bile ducts was also related to the successful rate of the endoscopic treatment (P < 0.001). The success rate was higher in the patients with the angle between the proximal and distal sites of the anastomosis approximated was small (0 degrees-30 degrees = 74%, 30 degrees-60 degrees = 69%, 60 degrees-90 degrees = 63%, >90 degrees = 41%). Conclusions. The type of biliary anastomoses and stricture affect the success rate of endoscopic treatment. These data may play role in making decision about the type of anastomosis during the surgery.en_US
dc.identifier.doi10.1097/TP.0000000000003738
dc.identifier.endpage336en_US
dc.identifier.issn0041-1337
dc.identifier.issn1534-6080
dc.identifier.issue2en_US
dc.identifier.pmid33724243en_US
dc.identifier.scopus2-s2.0-85123968896en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage328en_US
dc.identifier.urihttps://doi.org/10.1097/TP.0000000000003738
dc.identifier.urihttps://hdl.handle.net/11616/100457
dc.identifier.volume106en_US
dc.identifier.wosWOS:000748941100034en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofTransplantationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdult Living-Donoren_US
dc.subjectEndoscopic Treatmenten_US
dc.subjectRisk-Factorsen_US
dc.subjectComplicationsen_US
dc.subjectManagementen_US
dc.subjectDucten_US
dc.subjectAnastomosisen_US
dc.subjectOutcomesen_US
dc.titleThe Classification of Biliary Strictures in Patients With Right-Lobe Liver Transplant Recipients and Its Relation to Traversing the Stricture With a Guidewireen_US
dc.typeArticleen_US

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