Clin Endosc.  2020 May;53(3):255-260. 10.5946/ce.2020.079.

Unilateral Versus Bilateral Biliary Drainage for Post-Transplant Anastomotic Stricture

• Choi JH
• Paik WH

• KMID: 2502759
• DOI: http://doi.org/10.5946/ce.2020.079

Abstract

Living donor liver transplantation is the most common type of liver transplantation in Asia. Post-transplant biliary stricture is frequent in living donor liver transplantation, and endoscopic management is considered to be the treatment of choice. However, endoscopic management is still challenging in patients who undergo right lobe living donor liver transplantation because of the anatomical alteration. In this article, we reviewed the recently updated results for proper endoscopic biliary drainage in post-living donor liver transplantation anatomical biliary stricture and compared unilateral and bilateral drainage.

Keyword

Biliary stent; Biliary stricture; Endoscopic retrograde cholangiopancreatography; Living donor liver transplantations

Figure

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  Fig. 1. Schematic diagram of biliary reconstruction during right lobe living donor liver transplantation.

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  Fig. 2. A schematic diagram of the proper drainage strategy for anastomotic biliary stricture (ABS) after living donor liver transplantation. ERBD, endobiliary retrograde biliary drainage; LDLT, living donor liver transplantation.

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