Open AccessCutting balloon treatment of anastomotic biliary stenosis after liver transplantation: Report of two cases
Author(s) -
Fan Ding,
Hui Tang,
Chi Xu,
Zai-bo Jiang,
Shuhong Yi,
Hua Li,
Nan Jiang,
Wenjie Chen,
Qing Yang,
Yang Yang,
Guihua Chen
Publication year - 2017
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v23.i1.178
Subject(s) - medicine , anastomosis , stenosis , liver transplantation , balloon dilation , hepatocellular carcinoma , transplantation , complication , surgery , cirrhosis , balloon , radiology , gastroenterology
Biliary stenosis is a common complication after liver transplantation, and has an incidence rate ranging from 4.7% to 12.5% based on our previous study. Three types of biliary stenosis (anastomotic stenosis, non-anastomotic peripheral stenosis and non-anastomotic central hilar stenosis) have been identified. We report the outcome of two patients with anastomotic stricture after liver transplantation who underwent successful cutting balloon treatment. Case 1 was a 40-year-old male transplanted due to subacute fulminant hepatitis C. Case 2 was a 57-year-old male transplanted due to hepatitis B virus-related end-stage cirrhosis associated with hepatocellular carcinoma. Both patients had similar clinical scenarios: refractory anastomotic stenosis after orthotopic liver transplantation and failure of balloon dilation of the common bile duct to alleviate biliary stricture.