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Cholangiography and interventional biliary radiology in adult liver transplantation

Zajko, AB and Campbell, WL and Bron, KM and Lecky, JW and Iwatsuki, S and Shaw, BW and Starzl, TE (1985) Cholangiography and interventional biliary radiology in adult liver transplantation. American Journal of Roentgenology, 144 (1). 127 - 133. ISSN 0361-803X

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Abstract

Radiographic assessment of the biliary tract is often essential in patients who have undergone liver transplantation. T. or straight-tube cholangiography, percutaneous transhepatic cholangiography, and endoscopic retrograde cholangiography all may be used. A total of 264 cholangiograms in 79 adult liver transplant patients (96 transplants) was reviewed. Normal radiographic features of biliary reconstructive procedures, including choledochocholedochostomy and choledochojejunostomy, are demonstrated. Complications diagnosed by cholangiography included obstruction, bile leaks, and tube problems, seen in eight, 24, and 12 transplants respectively. Stretching and incomplete filling of intrahepatic biliary ducts were frequently noted and may be associated with rejection and other conditions. Transhepatic biliary drainage, balloon catheter dilatation of strictures, replacement of dislodged T-tubes, and restoring patency of obstructed T-tubes using interventional radiologic techniques were important in avoiding complications and additional surgery in selected patients.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Zajko, AB
Campbell, WL
Bron, KM
Lecky, JW
Iwatsuki, S
Shaw, BW
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 January 1985
Date Type: Publication
Journal or Publication Title: American Journal of Roentgenology
Volume: 144
Number: 1
Page Range: 127 - 133
DOI or Unique Handle: 10.2214/ajr.144.1.127
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0361-803X
Other ID: uls-drl:31735062115781, Starzl CV No. 615
Date Deposited: 08 Apr 2010 17:10
Last Modified: 02 Feb 2019 13:57
URI: http://d-scholarship.pitt.edu/id/eprint/4001

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