nach oben

Erschienen in:

2015 | OriginalPaper | Buchkapitel

7. Endoskopische Therapie postoperativer biliärer Komplikationen

verfasst von : Frank Kolligs, Prof. Dr. med., Jörg Schirra, Prof. Dr. med.

Erschienen in: Komplikationsmanagement in der Chirurgie

Verlag: Springer Berlin Heidelberg

Einloggen, um Zugang zu erhalten

Zusammenfassung

Biliäre Komplikationen sind typische, aber relativ seltene Komplikationen – meist als Leckagen – nach Cholezystektomie und Leberteilresektionen. Komplikationen der Gallenwege treten jedoch bei etwa 30% aller Lebertransplantationen (LTx) auf. Sie sind damit die häufigste Komplikation nach LTx und resultieren in einer signifikanten Morbidität, Mortalität und Notwendigkeit der Retransplantation. Das Spektrum biliärer Komplikationen nach Lebertransplantation umfasst Gallelecks, Stenosen sowie Obstruktion durch „biliary cast“ und Konkremente. Die meisten Komplikationen können endoskopisch auch langfristig gut behandelt werden. Der Erfolg der endoskopischen Therapie hängt jedoch von der Art, der Lokalisation und dem Umfang der Schädigung sowie dem Zeitpunkt des Auftretens nach der Operation und der konsequenten Durchführung der endoskopischen Therapie ab.

Aksoz K, Unsal B, Yoruk G et al (2009) Endoscopic sphincterotomy alone in the management of low-grade biliary leaks due to cholecystectomy. Dig Endosc 21(3):158–161PubMedCrossRef

Alazmi WM, Fogel EL, Watkins JL et al (2006) Recurrence rate of anastomotic biliary strictures in patients who have had previous successful endoscopic therapy for anastomotic narrowing after orthotopic liver transplantation. Endoscopy 38(6):571–574PubMedCrossRef

Albert JG, Ulrich F, Zeuzem S et al (2010) Endoscopic-retrograde cholangiopancreatography in patients with surgical modification of anatomy. Z Gastroenterol 48(8):839–849PubMedCrossRef

Albert JG, Filmann N, Elsner J et al (2013) Long-term follow-up of endoscopic therapy for stenosis of the biliobiliary anastomosis associated with orthotopic liver transplantation. Liver Transpl 19(6):586–593PubMedCrossRef

Arain MA, Attam R, Freeman ML (2013) Advances in endoscopic management of biliary tract complications after liver transplantation. Liver Transpl 19(5):482–498PubMedCrossRef

Beltran MM, Marugan RB, Oton E et al (2005) Accuracy of magnetic resonance cholangiography in the evaluation of late biliary complications after orthotopic liver transplantation. Transplant 37(9):3924–3925CrossRef

Boraschi P, Donati F, Gigoni R et al (2010) MR cholangiography in orthotopic liver transplantation: sensitivity and specificity in detecting biliary complications. Clin Transplant 24(4):E82–E87PubMedCrossRef

Costamagna G, Pandolfi M, Mutignani M et al (2001) Long-term results of endoscopic management of postoperative bile duct strictures with increasing numbers of stents. Gastrointest Endosc 54(2):162–168PubMedCrossRef

Deziel DJ, Millikan KW, Economou SG et al (1993) Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 165(1):9–14PubMedCrossRef

Dumonceau JM, Andriulli A, Deviere J et al (2010) European Society of Gastrointestinal Endoscopy (ESGE) Guideline: prophylaxis of post-ERCP pancreatitis. Endoscopy 42(6):503–515PubMedCrossRef

Dumonceau JM, Tringali A, Blero D et al (2012) Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 44(3):277–298PubMedCrossRef

Elmi F, Silverman WB (2005) Nasobiliary tube management of postcholecystectomy bile leaks. J Clin Gastroenterol 39(5):441–444PubMedCrossRef

Gotthardt DN, Weiss KH, Rupp C et al (2013) Bacteriobilia and fungibilia are associated with outcome in patients with endoscopic treatment of biliary complications after liver transplantation. Endoscopy 45(11):890–896PubMedCrossRef

Guichelaar MM, Benson JT, Malinchoc M et al (2003) Risk factors for and clinical course of non-anastomotic biliary strictures after liver transplantation. Am J Transplant 3(7):885–890PubMedCrossRef

Kaffes A, Griffin S, Vaughan R et al (2014) A randomized trial of a fully covered self-expandable metallic stent versus plastic stents in anastomotic biliary strictures after liver transplantation. Therap Adv Gastroenterol 7(2):64–71PubMedCentralPubMedCrossRef

Krok KL, Cardenas A, Thuluvath PJ (2010) Endoscopic management of biliary complications after liver transplantation. Clin Liver Dis 14(2):359–371PubMedCrossRef

Kulaksiz H, Weiss KH, Gotthardt D et al (2008) Is stenting necessary after balloon dilation of post-transplantation biliary strictures? Results of a prospective comparative study. Endoscopy 40(9):746–751PubMedCrossRef

Lalezari D, Singh I, Reicher S et al (2013) Evaluation of fully covered self-expanding metal stents in benign biliary strictures and bile leaks. World J Gastrointest Endosc 5(7):332–339PubMedCentralPubMedCrossRef

Mavrogiannis C, Liatsos C, Papanikolaou IS et al (2006) Biliary stenting alone versus biliary stenting plus sphincterotomy for the treatment of post-laparoscopic cholecystectomy biliary leaks: a prospective randomized study. Eur J Gastroenterol Hepatol 18(4):405–409PubMedCrossRef

Moon JH, Choi HJ, Koo HC et al (2012) Feasibility of placing a modified fully covered self-expandable metal stent above the papilla to minimize stent-induced bile duct injury in patients with refractory benign biliary strictures (with videos). Gastrointest Endosc 75(5):1080–1085PubMedCrossRef

Morelli J, Mulcahy HE, Willner IR et al (2003) Long-term outcomes for patients with post-liver transplant anastomotic biliary strictures treated by endoscopic stent placement. Gastrointest Endosc 58(3):374–379PubMedCrossRef

Morelli G, Fazel A, Judah J et al (2008) Rapid-sequence endoscopic management of posttransplant anastomotic biliary strictures. Gastrointest Endosc 67(6):879–885PubMedCrossRef

Neuhaus P, Schmidt SC, Hintze RE et al (2000) Classification and treatment of bile duct injuries after laparoscopic cholecystectomy. Chirurg 71(2):166–173PubMedCrossRef

Park JB, Kwon CH, Choi GS et al (2008) Prolonged cold ischemic time is a risk factor for biliary strictures in duct-to-duct biliary reconstruction in living donor liver transplantation. Transplantation 86(11):1536–1542PubMedCrossRef

Pawa S, Al-Kawas FH (2009) ERCP in the management of biliary complications after cholecystectomy. Curr Gastroenterol Rep 11(2):160–166PubMedCrossRef

Phillips MS, Bonatti H, Sauer BG et al (2011) Elevated stricture rate following the use of fully covered self-expandable metal biliary stents for biliary leaks following liver transplantation. Endoscopy 43(6):512–517PubMedCrossRef

Poley JW, Cahen DL, Metselaar HJ et al (2012) A prospective group sequential study evaluating a new type of fully covered self-expandable metal stent for the treatment of benign biliary strictures (with video). Gastrointest Endosc 75(4):783–789PubMedCrossRef

Poley JW, Lekkerkerker MN, Metselaar HJ et al (2013) Clinical outcome of progressive stenting in patients with anastomotic strictures after orthotopic liver transplantation. Endoscopy 45(7):567–570PubMedCrossRef

Sandha GS, Bourke MJ, Haber GB et al (2004) Endoscopic therapy for bile leak based on a new classification: results in 207 patients. Gastrointest Endosc 60(4):567–574PubMedCrossRef

Sauer P, Chahoud F, Gotthardt D et al (2012) Temporary placement of fully covered self-expandable metal stents in biliary complications after liver transplantation. Endoscopy 44(5):536–538PubMedCrossRef

Seewald S, Groth S, Sriram PV et al (2002) Endoscopic treatment of biliary leakage with n-butyl-2 cyanoacrylate. Gastrointest Endosc 56(6):916–919PubMedCrossRef

Sharma S, Gurakar A, Jabbour N (2008) Biliary strictures following liver transplantation: past, present and preventive strategies. Liver Transpl 14(6):759–769PubMedCrossRef

Sibulesky L, Nguyen JH (2011) Update on biliary strictures in liver transplants. Transplant Proc 43(5):1760–1764PubMedCrossRef

Stratta RJ, Wood RP, Langnas AN et al (1989) Diagnosis and treatment of biliary tract complications after orthotopic liver transplantation. Surgery 106(4):675–683PubMed

Suarez F, Otero A, Solla M et al (2008) Biliary complications after liver transplantation from maastricht category-2 non-heart-beating donors. Transplantation 85(1):9–14PubMedCrossRef

Sugiyama M, Atomi Y (2002) Risk factors predictive of late complications after endoscopic sphincterotomy for bile duct stones: long-term (more than 10 years) follow-up study. Am J Gastroenterol 97(11):2763–2767PubMedCrossRef

Tabibian JH, Asham EH, Han S et al (2010) Endoscopic treatment of postorthotopic liver transplantation anastomotic biliary strictures with maximal stent therapy (with video). Gastrointest Endosc 71(3):505–512PubMedCrossRef

Williams ED, Draganov PV (2009) Endoscopic management of biliary strictures after liver transplantation. World J Gastroenterol 15(30):3725–3733PubMedCentralPubMedCrossRef

Zimmerman MA, Baker T, Goodrich NP et al (2013) Development, management, and resolution of biliary complications after living and deceased donor liver transplantation: a report from the adult-to-adult living donor liver transplantation cohort study consortium. Liver Transpl 19(3):259–267PubMedCentralPubMedCrossRef

Zoepf T, Maldonado de Dechene EJ, Dechene A et al (2012) Optimized endoscopic treatment of ischemic-type biliary lesions after liver transplantation. Gastrointest Endosc 76(3):556–563PubMedCrossRef

Titel: Endoskopische Therapie postoperativer biliärer Komplikationen
verfasst von: Frank Kolligs, Prof. Dr. med.
Jörg Schirra, Prof. Dr. med.
Verlag: Springer Berlin Heidelberg
Buch: Komplikationsmanagement in der Chirurgie
Print ISBN: 978-3-662-43474-1

Electronic ISBN: 978-3-662-43475-8

Copyright-Jahr: 2015
DOI: https://doi.org/10.1007/978-3-662-43475-8_7

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Update Chirurgie