Complications of transplantationCase reportMagnetic Compression Anastomosis for Bile Duct Stenosis After Donor Left Hepatectomy: A Case Report
Section snippets
Case Report
A 24-year-old man had undergone a donor left hepatectomy for his mother's liver transplantation. He subsequently suffered leakage at the bile duct stump, which resolved after percutaneous abdominal and endoscopic nasobiliary drainages. He began to experience fever with slight elevation of transaminases (aspartate aminotransferase, 79 IU/L; alanine aminotransferase, 109 IU/L) and total bilirubin (1.2 mg/dL) at 5 months after the hepatectomy. Magnetic resonance cholangiopancreatography revealed a
Discussion
Donor safety is a critical issue in LDLT. Biliary complications, a major concern among LDLT donors, have been reported to range from 3.2%–5.5%.3, 4, 5 Treatments for biliary complications include percutaneous abdominal drainage, percutaneous or endoscopic biliary drainage, balloon dilatation, and stent placement. However, if these therapies fail, one must consider surgical revision of the bile duct anastomosis. MCA developed by Yamanouchi et al6, 7 is a unique procedure to perform an alimentary
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Cited by (21)
Laparoscopic Magnetic Compression Biliojejunostomy: A Preliminary Clinical Study
2019, Journal of Surgical ResearchCitation Excerpt :One magnet was delivered via percutaneous transhepatic biliary drainage tract, and the other was advanced through endoscopic retrograde cholangiopancreatography scope. Afterward, the two magnets mated and recanalized the bile ducts.38-43 Avaliani et al.7 has reported MCA between bile ducts and duodenum as a palliative treatment of malignant obstructive jaundice.
Successful Treatment of Stricture of Duct-to-Duct Biliary Anastomosis After Living-Donor Liver Transplantation of the Left Lobe: A Case Report
2017, Transplantation ProceedingsCitation Excerpt :In the present case, the patient removed the stent herself early after treatment, which might have caused anastomotic stricture after LDLT. In the English literature, a total of 5 patients with MCA after LDLT have been reported [3,5,8,9,12]. Four of those cases, like the present case, were LDLT of the right lobe (Table 1).
Management of biliary anastomotic strictures after liver transplantation
2017, Transplantation ReviewsTreatment of completely obstructed benign biliary strictures with magnetic compression anastomosis: follow-up results after recanalization
2017, Gastrointestinal EndoscopyCitation Excerpt :Of the patients in whom stenosis recanalization was successful, one died due to transplant rejection. In refractory BBSs that cannot be resolved by conventional endoscopic or percutaneous methods, the feasibility and safety of MCA have been established by various experimental and clinical studies.10-23,26-29 In animal studies, new fistulas formed by MCA are intact in the serosal, submucosal, and mucosal layers,28,29 and patency is similar to anastomoses formed using conventional surgery.30
A novel technique for the endoscopic treatment of complete biliary anastomosis obstructions after liver transplantation: through-the-scope magnetic compression anastomosis
2017, Gastrointestinal EndoscopyCitation Excerpt :Seventeen cases of complete biliary obstruction after liver transplantation treated with MCA have been reported. Five were isolated case reports and recanalization was achieved in all of them.4-6,8,11 No recurrence was reported after a follow-up period of 2 months to 3 years.