Đánh giá kết quả xử trí biến chứng đường mật sau ghép gan qua nội soi mật tụy ngược dòng

Abstract

Objective: To evaluate the results of endoscopic retrograde cholangiopancreatography in the treatment of biliary tract complications after liver transplantation at 108 Military Central Hospital. Subject and method: Subjects were patients with biliary tract complications after liver transplantation at 108 Military Central Hospital. Retrospective, cross-sectional descriptive study to assess outcomes, complications of endoscopic retrograde cholangiopancreatography. Result: Within 3 years from 2019 to 2022, there were 110 patients with liver transplant patients from living-donors, in which the rate of biliary complications was 27.7%, biliary stricture was the most common complication, accounting for 19.1%. Technical success rate up to 96%, complication rate after intervention was 20.8%, no case of death. Combination balloon dilatation and stent placement was the most commonly used method, accounting for 62.5%. Plastic stents were used more than metal stents (75% vs 25%). Some common difficulties: Difficult scope intubation (45.8%), stricture negotiation (33.3%). 20.8% of patients had complications after the intervention, in which infectious complications were the most common (12.5%), There were no deaths. Conclusion: Endoscopic management of patients with biliary complications after liver transplantation had a high success rate and low invasiveness. However, the intervention process has many difficulties and complications, so it is necessary to have a reasonable intervention strategy, variety of specialized instruments and experienced specialists.