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A case of successful enteroscopic balloon dilation for late anastomotic stricture of choledochojejunostomy after living donor liver transplantation
Author(s) -
Haruta Hidenori,
Yamamoto Hironori,
Mizuta Koichi,
Kita Yoshiaki,
Uno Takeji,
Egami Satoshi,
Hishikawa Shuji,
Sugano Kentaro,
Kawarasaki Hideo
Publication year - 2005
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.20623
Subject(s) - medicine , anastomosis , balloon dilation , enteroscopy , surgery , liver transplantation , percutaneous transhepatic cholangiography , balloon , double balloon enteroscopy , transplantation , cholangiography , living donor liver transplantation , percutaneous , stenosis , radiology , endoscopy
Abstract Biliary complications remain a major concern after living donor liver transplantation. We describe a pediatric case who underwent a successful endoscopic balloon dilatation of biliary‐enteric stricture following living donor liver transplantation using a newly developed method of enteroscopy. The 7‐year‐old boy with late biliary stricture of choledochojejunostomy was admitted 6 years after transplantation. Since percutaneous transhepatic cholangiography was technically difficult in this case, endoscopic retrograde cholangiography was performed using a double‐balloon enteroscope under general anesthesia. The enteroscope was advanced retrograde through the duodenum, jejunum, and the leg of Roux‐Y by the double‐balloon method, and anastomotic stricture of choledochojejunostomy was clearly confirmed by endoscopic retrograde cholangiography and endoscopic direct vision. Balloon dilatation was performed and the anastomosis was expanded. Restenosis was not noted as of 2 years after the treatment. In conclusion, endoscopic balloon dilation of biliary‐enteric anastomotic stricture using a new enteroscopic method can be regarded as an alternative choice to percutaneous transhepatic management and surgical re‐anatomists. (Liver Transpl 2005;11:1608–1610.)