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Biodegradable stents in the treatment of biliary strictures after liver transplantation – first experience


Authors: Alžběta Hujová 1 ;  Jana Jarošová 1 ;  Peter Mačinga 1 ;  Julius Špičák 1 ;  Jiří Froněk 2 ;  Theodor Adla 3 ;  Pavel Taimr 1 ;  Tomáš Hucl 1
Authors‘ workplace: Klinika hepatogastroenterologie, Institut klinické a experimentální medicíny, Praha 1;  Klinika transplantační chirurgie, Institut klinické a experimentální medicíny, Praha 2;  Oddělení radiologie, Institut klinické a experimentální medicíny, Praha 3
Published in: Gastroent Hepatol 2024; 78(4): 286-290
Category: Clinical and Experimental Gastroenterology: Review Article
doi: https://doi.org/10.48095/ccgh2024286

Overview

Biliary anastomotic strictures are one of the most common biliary complications in patients after liver transplantation. Biliary complications are associated with higher mortality, morbidity, risk of graft failure and usually require repeated endoscopic interventions with regular stent replacement for treatment. Biodegradable stents are new types of stents made of bio degradable polymers, which may have the main advantage of reducing the number of endoscopic interventions and associated complications. The aim of our article was to describe the cases of two patients after liver transplantation with early biliary anastomotic strictures, which were resolved by endoscopic placement of bio degradable stents. In both cases, endoscopic stent placement was technically feasible and there were no periprocedural or postprocedural complications. The clinical course and fol low-up imaging at 8 months showed regression of the strictures in both patients.

Keywords:

liver transplantation – benign biliary stenoses – bio degradable stent


Sources
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ORCID autorů
A. Hujová 0000-0002-1282-095X,
J. Jarošová 0000-0003-0010-0637,
P. Mačinga 0000-0003-3699-6914,
J. Špičák 0000-0002-3823-2881,
J. Froněk 0000-0003-2379-3886,
T. Adla 0000-0002-0577-1440,
P. Taimr 0000-0002-6272-4608,
T. Hucl 0000-0002-5648-4011.
Doručeno/Submitted: 29. 7. 2024
Přijato/Accepted: 8. 8. 2024
Korespondenční autor
prof. MUDr. Tomáš Hucl, Ph.D.
Klinika hepatogastroenterologie
Institut klinické a experimentální medicíny
Vídeňská 1958/9
140 21 Praha 4
tomas.hucl@ikem.cz
Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

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Gastroenterology and Hepatology

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