Yıl: 2018 Cilt: 48 Sayı: 5 Sayfa Aralığı: 1006 - 1012 Metin Dili: İngilizce DOI: 10.3906/sag-1803-68 İndeks Tarihi: 24-06-2019

MR cholangiopancreatography findings of biliary tract complications after liver transplantation

Öz:
Background/aim: We aimed to present the magnetic resonance cholangiopancreatography (MRCP) findings of biliary tractcomplications after liver transplantation.Materials and methods: Seventy-five patients who underwent MRCP in our department between July 2011 and July 2015 after livertransplantation were retrospectively evaluated. The MRCP images were reevaluated by three radiologists in consensus. Diagnosticconfirmation of MRCP findings was obtained with direct cholangiographic examinations or with clinical, radiological, and laboratoryfindings and concordance between MRCP findings and the final diagnosis was investigated.Results: Twenty-seven of the 75 patients had normal MRCP findings and at least one type of biliary tract complication was detected on theMR images of 48 patients. These complications included anastomotic stricture, dilatation of the biliary tract, nonanastomotic stricture,biliary leakage, cholangitis, biloma, abscess due to cholangitis, biliary stone-sludge, and donor-to-recipient bile duct disproportion.Thirty of the 75 patients were followed only by clinical and laboratory findings without further imaging. Forty-five patients underwentdirect cholangiographic examinations. At the end of the follow-up period, 28 of the 75 patients were considered free of biliary tractcomplications, and at least one bile duct complication was diagnosed in 47 patients.Conclusion: With its high sensitivity and specificity, MRCP should be the first choice of method in the diagnosis and follow-up ofbiliary complications after liver transplantation.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Girometti R, Cereser L, Como G, Zuiani C, Bazzocchi M. Biliary complications after orthotopic liver transplantation: MRCP findings. Abdom Imaging 2008; 33: 542-554.
  • Valls C, Alba E, Cruz M, Figueras J, Andia E, Sanchez A, Lladó L, Serrano T. Biliary complications after liver transplantation: diagnosis with MR cholangiopancreatography. Am J Roentgenol 2005; 184: 812-820.
  • Vitellas KM, Keogan MT, Spritzer CE, Nelson RC. MR cholangiopancreatography of bile and pancreatic duct abnormalities with emphasis on the single-shot fast spin-echo technique. Radiographics 2000; 20: 939-957.
  • Freeman ML, Nelson DB, Sherman S, Haber GB, Herman ME, Dorsher PJ, Moore JP, Fennerty MB, Ryan ME, Shaw MJ et al. Complications of endoscopic biliary sphincterotomy. N Engl J Med 1996; 335: 909-918.
  • Keogan MT, Edelman RR. Technologic advances in abdominal MR imaging. Radiology 2001; 220: 310-320.
  • Xu YB, Min ZG, Jiang HX, Qin SY, Hu BL. Diagnostic value of magnetic resonance cholangiopancreatography for biliary complications in orthotopic liver transplantation: a metaanalysis. Transplant Proc 2013; 45: 2341-2346.
  • Beltran MM, Marugan RB, Oton E, Blesa C, Nuno J. Accuracy of magnetic resonance cholangiography in the evaluation of late biliary complications after orthotopic liver transplantation. Transplant Proc 2005; 37: 3924-3925.
  • Katz LH, Benjaminov O, Belinki A, Geler A, Braun M, Knizhnik M, Aizner S, Shaharabani E, Sulkes J, Shabtai E et al. Magnetic resonance cholangiopancreatography for the accurate diagnosis of biliary complications after liver transplantation: comparison with endoscopic retrograde cholangiography and percutaneous transhepatic cholangiography - long-term follow-up. Clin Transplant 2010; 24: E163-169.
  • Zajko AB, Campbell WL, Logsdon GA, Bron KM, Tzakis A, Esquivel CO, Starzl TE. Cholangiographic findings in hepatic artery occlusion after liver transplantation. Am J Roentgenol 1987; 149: 485-489.
  • Greif F, Bronsther OL, Van Thiel DH, Casavilla A, Iwatsuki S, Tzakis A, Todo S, Fung JJ, Starzl TE. The incidence, timing, and management of biliary tract complications after orthotopic liver transplantation. Ann Surg 1994; 219: 40-45.
  • Friedman A, Dachman A. Radiology of the Liver, Biliary Tract and Pancreas. St. Louis, MO, USA: Mosby; 1994.
  • Guibaud L, Bret PM, Reinhold C, Atri M, Barkun AN. Bile duct obstruction and choledocholithiasis: diagnosis with MR cholangiography. Radiology 1995; 197: 109-115.
  • Garcia-Criado A, Gilabert R, Bargallo X, Bru C. Radiology in liver transplantation. Semin Ultrasound CT MR 2002; 23: 114- 129.
  • Seehofer D, Eurich D, Veltzke-Schlieker W, Neuhaus P. Biliary complications after liver transplantation: old problems and new challenges. Am J Transplant 2013; 13: 253-265.
  • Kawachi S, Shimazu M, Wakabayashi G, Hoshino K, Tanabe M, Yoshida M, Morikawa Y, Kitajima M. Biliary complications in adult living donor liver transplantation with duct-to-duct hepaticocholedochostomy or Roux-en-Y hepaticojejunostomy biliary reconstruction. Surgery 2002; 132: 48-56.
  • Rerknimitr R, Sherman S, Fogel EL, Kalayci C, Lumeng L, Chalasani N, Kwo P, Lehman GA. Biliary tract complications after orthotopic liver transplantation with choledochocholedochostomy anastomosis: endoscopic findings and results of therapy. Gastroint Endosc 2002; 55: 224- 231.
  • Seale MK, Catalano OA, Saini S, Hahn PF, Sahani DV. Hepatobiliary-specific MR contrast agents: role in imaging the liver and biliary tree. Radiographics 2009; 29: 1725-1748.
APA Arslan M, Haliloglu N, ERDEN G (2018). MR cholangiopancreatography findings of biliary tract complications after liver transplantation. , 1006 - 1012. 10.3906/sag-1803-68
Chicago Arslan Mustafa Fatih,Haliloglu Nuray,ERDEN GÜL AYŞE MR cholangiopancreatography findings of biliary tract complications after liver transplantation. (2018): 1006 - 1012. 10.3906/sag-1803-68
MLA Arslan Mustafa Fatih,Haliloglu Nuray,ERDEN GÜL AYŞE MR cholangiopancreatography findings of biliary tract complications after liver transplantation. , 2018, ss.1006 - 1012. 10.3906/sag-1803-68
AMA Arslan M,Haliloglu N,ERDEN G MR cholangiopancreatography findings of biliary tract complications after liver transplantation. . 2018; 1006 - 1012. 10.3906/sag-1803-68
Vancouver Arslan M,Haliloglu N,ERDEN G MR cholangiopancreatography findings of biliary tract complications after liver transplantation. . 2018; 1006 - 1012. 10.3906/sag-1803-68
IEEE Arslan M,Haliloglu N,ERDEN G "MR cholangiopancreatography findings of biliary tract complications after liver transplantation." , ss.1006 - 1012, 2018. 10.3906/sag-1803-68
ISNAD Arslan, Mustafa Fatih vd. "MR cholangiopancreatography findings of biliary tract complications after liver transplantation". (2018), 1006-1012. https://doi.org/10.3906/sag-1803-68
APA Arslan M, Haliloglu N, ERDEN G (2018). MR cholangiopancreatography findings of biliary tract complications after liver transplantation. Turkish Journal of Medical Sciences, 48(5), 1006 - 1012. 10.3906/sag-1803-68
Chicago Arslan Mustafa Fatih,Haliloglu Nuray,ERDEN GÜL AYŞE MR cholangiopancreatography findings of biliary tract complications after liver transplantation. Turkish Journal of Medical Sciences 48, no.5 (2018): 1006 - 1012. 10.3906/sag-1803-68
MLA Arslan Mustafa Fatih,Haliloglu Nuray,ERDEN GÜL AYŞE MR cholangiopancreatography findings of biliary tract complications after liver transplantation. Turkish Journal of Medical Sciences, vol.48, no.5, 2018, ss.1006 - 1012. 10.3906/sag-1803-68
AMA Arslan M,Haliloglu N,ERDEN G MR cholangiopancreatography findings of biliary tract complications after liver transplantation. Turkish Journal of Medical Sciences. 2018; 48(5): 1006 - 1012. 10.3906/sag-1803-68
Vancouver Arslan M,Haliloglu N,ERDEN G MR cholangiopancreatography findings of biliary tract complications after liver transplantation. Turkish Journal of Medical Sciences. 2018; 48(5): 1006 - 1012. 10.3906/sag-1803-68
IEEE Arslan M,Haliloglu N,ERDEN G "MR cholangiopancreatography findings of biliary tract complications after liver transplantation." Turkish Journal of Medical Sciences, 48, ss.1006 - 1012, 2018. 10.3906/sag-1803-68
ISNAD Arslan, Mustafa Fatih vd. "MR cholangiopancreatography findings of biliary tract complications after liver transplantation". Turkish Journal of Medical Sciences 48/5 (2018), 1006-1012. https://doi.org/10.3906/sag-1803-68