Cholangioscopy-guided steroid injection for refractory post liver transplant anastomotic strictures: a rescue case series.

ABSTRACT:

Background and aims

Post liver transplant biliary anastomotic strictures have traditionally been treated with balloon dilation and multiple plastic stents. Fully covered self-expandable metallic stents may be used as an initial alternative or after multiple plastic stents failure. Refractory strictures can occur in 10-22% and require revisional surgery. Alternatively, cholangioscopy allows direct visualization and therapeutic approaches. We aimed to assess the feasibility, safety, and efficacy of balloon dilation combined with cholangioscopy-guided steroid injection for the treatment of refractory anastomotic biliary strictures.

Methods

Three post-orthotopic liver transplant patients who failed standard treatment of their biliary anastomotic strictures underwent endoscopic r

SUBMITTER: Franzini T 

PROVIDER: S-EPMC6713960 | biostudies-literature | 2019 Jan-Dec

REPOSITORIES: biostudies-literature