Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Campbell, W. L.
Right arrow Articles by Demetris, A. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Campbell, W. L.
Right arrow Articles by Demetris, A. J.

Radiology, Vol 191, 735-740, Copyright © 1994 by Radiological Society of North America

ARTICLES

Intrahepatic biliary strictures after liver transplantation

WL Campbell, R Sheng, AB Zajko, K Abu-Elmagd and AJ Demetris
Department of Radiology, University of Pittsburgh School of Medicine, PA 15213.

PURPOSE: To evaluate the prevalence, cholangiographic features, causes, and management of intrahepatic biliary strictures in hepatic transplants. MATERIALS AND METHODS: Over a 12-year period, cholangiography was performed in 1,590 liver allografts. Confirmed cases of stricture were evaluated and correlated with clinical variables. RESULTS: Intrahepatic biliary strictures occurred in 130 of 1,590 grafts (8.2%). Strictures were multiple in 99 grafts (76.2%) and single in 31 (23.8%). Locations were the common hepatic duct bifurcation in 46 grafts (35.4%), the peripheral ducts in 44 (33.8%), and both in 40 (30.8%). Strictures caused mild to moderate bile duct dilatation in 72 grafts (55.4%), marked dilatation in 11 (8.5%), and obstruction in four (3.1%). Hepatic artery occlusion, pretransplantation primary sclerosing cholangitis, choledochojejunostomy, use of Euro-Collins organ preservation solution, cholangitis at liver biopsy, and young age were statistically significantly associated with strictures (P < .001). CONCLUSION: Strictures have multiple causes and may be an important indicator of underlying abnormalities. They often require interventional radiologic or surgical treatment.


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
C. Valls, E. Alba, M. Cruz, J. Figueras, E. Andia, A. Sanchez, L. Llado, and T. Serrano
Biliary Complications After Liver Transplantation: Diagnosis with MR Cholangiopancreatography
Am. J. Roentgenol., March 1, 2005; 184(3): 812 - 820.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
P. V. Pandharipande, V. S. Lee, G. R. Morgan, L. W. Teperman, G. A. Krinsky, N. M. Rofsky, M.-C. Roy, and J. C. Weinreb
Vascular and Extravascular Complications of Liver Transplantation: Comprehensive Evaluation with Three-Dimensional Contrast-Enhanced Volumetric MR Imaging and MR Cholangiopancreatography
Am. J. Roentgenol., November 1, 2001; 177(5): 1101 - 1107.
[Abstract] [Full Text] [PDF]

Home page
 Arch. Dis. Child.Home page
G. Noble-Jamieson and N. Barnes
Diagnosis and management of late complications after liver transplantation
Arch. Dis. Child., November 1, 1999; 81(5): 446 - 451.
[Full Text] [PDF]

Home page
 RadiologyHome page
A. S. Fulcher and M. A. Turner
Orthotopic Liver Transplantation: Evaluation with MR Cholangiography
Radiology, June 1, 1999; 211(3): 715 - 722.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1994 by the Radiological Society of North America.