경피 경간 담도경술을 통해 성공적으로 제거된 간이식 후 합병된 Biliary Cast
Biliary Cast Successfully Removed by Percutaneous Transhepatic Cholangioscopy, and This Developed in a Patient Who Received Orthotopic Liver Transplantation
1
조회
0
다운로드
1
인용
0
참고문헌
초록
Abstract
"Biliary cast syndrome" describes a cast formed from retained lithogenic material, and this cast is morphologically confined to the bile duct; this develops in 4∼18% of liver transplant recipients. The pathogenesis of cast formation is not clearly understood. The proposing etiological factors for biliary cast syndrome include acute cellular rejection, a prolonged cold ischemic time, use of postoperative biliary drainage tubes and biliary infection. These casts are more likely to develop in the setting of hepatic ischemia and biliary stricture. Endoscopic and percutaneous cast extraction might achieve favorable results and this should be attempted before surgical therapy. We report here on a case of biliary cast syndrome that was secondary to orthotopic liver transplantation; this was successfully treated via percutaneous choledochoscopic removal. We also include a review of the literature. (Korean J Gastrointest Endosc 2006;33:381 384)
참고문헌 (15)
- "The development of biliary", pp.262~266
- "Biliary complications after liver transplantation:with special reference to biliary cast syndrome and techniques of secondary duct repair", 81, pp.212~221 (1977)
- "Cholestatic effect of cyclosporine in the rat.An inhibition of bile acid secretion", 46, pp.510~512 (1988)
- "The influence of ischemia on the biliary tract", 67, pp.321~324 (1980)
- "Bile composition and bile cast formation after transplantation of the liver in man", 19, pp.382~387 (1975)
- "Biliary sludging following liver transplantation in man", 25, pp.56~62 (1978)
- "Biliary sludge after liver transplantation", 164, pp.859~864 (1995)
- "Biliary stones and sludge in liver transplant patients", 198, pp.243~247 (1996)
- "Role of endoscopic retrograde cholangiopancreatography after orthotopic liver transplantation", 32, pp.419~423 (1991)
- "Biliary sludge after liver transplantation", 164, pp.865~869 (1995)
- "Pathology of liver transplantation", pp.437~470 (1987)
- "Endoscopic management of postoperative biliary complications in orthotopic liver transplantation", 52, pp.55~63 (2000)
- "Cholangiopathy and the biliary cast syndrome", 15, pp.341~343 (2003)
- "Effect of cyclosporine on bile secretion in rats", 151, pp.35~40 (1986)
- "Ischemic-type biliary complications after orthotopic liver transplantation", 16, pp.49~53 (1992)