Korean J Intern Med.  2019 Mar;34(2):261-268. 10.3904/kjim.2019.044.

Endoscopic management of anastomotic stricture after living-donor liver transplantation

• Lee DW
• Han J

• KMID: 2441004
• DOI: http://doi.org/10.3904/kjim.2019.044

Abstract

The most effective and fundamental treatment for end-stage liver disease is liver transplantation. Deceased-donor liver transplantation has been performed for many of these cases. However, living-donor liver transplantation (LDLT) has emerged as an alternative because it enables timely procurement of the donor organ. The success rate of LDLT has been improved by development of the surgical technique, use of immunosuppressant drugs, and accumulation of post-transplantation care experience. However, the occurrence of biliary stricture after LDLT remains a problem. This article reviews the pathogenesis, diagnosis, endoscopic management, and long-term outcomes of post-liver transplantation biliary stricture, with a focus on anastomotic stricture.

Keyword

Liver transplantation; Living donors; Cholangiopancreatography, endoscopic retrograde; Bile ducts; Constriction, pathologic

MeSH Terms

Bile Ducts
Cholangiopancreatography, Endoscopic Retrograde
Constriction, Pathologic*
Diagnosis
Humans
Liver Diseases
Liver Transplantation*
Liver*
Living Donors
Tissue Donors