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中华移植杂志(电子版) ›› 2021, Vol. 15 ›› Issue (03) : 178 -182. doi: 10.3877/cma.j.issn.1674-3903.2021.03.012

综述

肝移植术后胆道并发症的影像学表现
吴晓冬1, 刘松2, 王建红1,()   
  1. 1. 266000 青岛大学附属医院器官移植中心
    2. 266000 青岛大学附属医院放射科
  • 收稿日期:2020-12-18 出版日期:2021-06-25
  • 通信作者: 王建红
  • 基金资助:
    山东省重点研发计划(2019GSF108266); 青岛大学临床医学+X项目(2018)

Imaging appearance of biliary complications after liver transplantation

Xiaodong Wu1, Song Liu2, Jianhong Wang1,()   

  1. 1. Organ Transplantation Center, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
    2. Department of Radiology, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
  • Received:2020-12-18 Published:2021-06-25
  • Corresponding author: Jianhong Wang
引用本文:

吴晓冬, 刘松, 王建红. 肝移植术后胆道并发症的影像学表现[J/OL]. 中华移植杂志(电子版), 2021, 15(03): 178-182.

Xiaodong Wu, Song Liu, Jianhong Wang. Imaging appearance of biliary complications after liver transplantation[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2021, 15(03): 178-182.

胆道并发症是肝移植术后常见并发症之一,主要包括胆漏、胆管狭窄、胆泥和胆管结石等。影像学检查是主要诊断依据,不同的影像学检查各有优缺点。本文对肝移植术后常见胆道并发症的病因、临床表现及影像学特征,尤其是超声表现进行综述,以提高对肝移植术后常见胆道并发症的认识。

Biliary complications are the most common complications after liver transplantation, mainly include bile leakage, biliary strictures, biliary sludge and biliary calculi. Imaging examination plays an important role in diagnosis and differential diagnosis, but different modalities vary in advantages and disadvantages. This article aims to review the etiology, clinical manifestations and imaging appearance of biliary complications, especially focus on its ultrasound appearance to raise awareness of common biliary complications after liver transplantation.

1
Comandatore A, Palmeri M, Fatucchi LM, et al. Contrast enhanced ultrasound in detecting biliary complications after ABO-incompatible liver transplantation[J]. Prog Transplant, 2021, 31(3): 283-284.
2
Seo C, Choi HJ, Park SE, et al. The effect of intraductal transanastomotic stent in reducing biliary complication after duct-to-duct biliary reconstruction in living donor liver transplantation: Single center experience[J]. Ann Hepatobiliary Pancreat Surg, 2021, 25(Suppl 1): S277.
3
Kim MS, Hong SKyun. Efficacy and superiority between endoscopic retrograde cholangiopancreatography and percutaneous transhepatic biliary drainage as first line intervention of biliary complication after liver transplantation[J]. Ann Hepatobiliary Pancreat Surg, 2021, 25(Suppl 1): S184.
4
Berchtold V, Messner F, Weissenbacher A, et al. Influence of early biliary complications on survival rates after pediatric liver transplantation-A positive outlook[J]. Pediatr Transplant, 2021. (Epub ahead of print)
5
Lee AY, Lehrman ED, Perito ER, et al. Non-operative management of biliary complications after liver transplantation in pediatric patients: A 30-year experience[J]. Pediatr Transplant, 2021, 25(6): e14028.
6
王政禄,张淑英,朱丛中,等. 肝移植术后胆道并发症的临床及病理分析[J]. 中华肝脏病杂志2006, 14(4): 247-249.
7
杨扬,王金锐,郑荣琴,等. 中国大陆地区肝移植后缺血性胆道病变诊断及治疗专家共识[J]. 器官移植2015, 6(1): 1-5.
8
Hüsing A, Cicinnati VR, Beckebaum S, et al. Endoscopic ultrasound: valuable tool for diagnosis of biliary complications in liver transplant recipients?[J]. Surg Endosc, 2015, 29(6): 1433-1438.
9
Camacho JC, Coursey-Moreno C, Telleria JC, et al. Nonvascular post-liver transplantation complications: from US screening to cross-sectional and interventional imaging[J]. Radiographics, 2015, 35(1): 87-104.
10
Glowka TR, Karlstetter C, Weismüller TJ, et al. Intensified endoscopic evaluation for biliary complications after orthotopic liver transplantation[J]. Ann Transplant, 2021, 26: e928907.
11
范俊儿,朱贤胜,王莎莎,等. 声脉冲辐射力弹性成像在移植肝术后早期恢复过程中的评估价值[J]. 器官移植2017, 8(2): 161-164.
12
Yoshida M, Utsunomiya D, Kidoh M, et al. CT evaluation of living liver donor: Can 100-kVp plus iterative reconstruction protocol provide accurate liver volume and vascular anatomy for liver transplantation with reduced radiation and contrast dose?[J]. Medicine (Baltimore), 2017, 96(23): e6973.
13
Lim CJin, Hong K, Lee JM, et al. Clinical usefulness of T1-weighted MR cholangiography with Gd-EOB-DTPA for the evaluation of biliary complication after liver transplantation[J]. Ann Hepatobiliary Pancreat Surg, 2021, 25(1): 39-45.
14
Ono A, Arizono S, Kohno S, et al. Diagnostic accuracy of 3D breath-hold MR cholangiography using compressed sensing acceleration in visualizing non-dilated biliary system in living donor liver transplantation donors[J]. Acta Radiol, 2019, 60(10): 1209-1215.
15
Larghi A, Tringali A, Rimbaş M, et al. Endoscopic management of benign biliary strictures after liver transplantation[J]. Liver Transpl, 2019, 25(2): 323-335.
16
Arslan MFatih, Haliloǧlu N, Erden A. MR cholangiopancreatography findings of biliary tract complications after liver transplantation[J]. Turk J Med Sci, 2018, 48(5): 1006-1012.
17
Zhao JZ, Qiao LL, Du ZQ, et al. T-tube vs no T-tube for biliary tract reconstruction in adult orthotopic liver transplantation: An updated systematic review and meta-analysis[J]. World J Gastroenterol, 2021, 27(14): 1507-1523.
18
Choi HJ, Moon JH, Lee YN. Advanced imaging technology in biliary tract diseases: narrow-band imaging of the bile duct[J]. Clin Endosc, 2015, 48(6): 498-502.
19
Thompson CM, Saad NE, Quazi RR, et al. Management of iatrogenic bile duct injuries: role of the interventional radiologist[J]. Radiographics, 2013, 33(1): 117-134.
20
Verdonk RC, Buis CI, Porte RJ, et al. Biliary complications after liver transplantation: a review[J]. Scand J Gastroenterol Suppl, 2006, 243: 89-101.
21
Grommes C, DeAngelis LM. Primary CNS lymphoma[J]. J Clin Oncol, 2017, 35(21): 2410-2418.
22
Lisotti A, Fusaroli P, Caletti G. Role of endoscopy in the conservative management of biliary complications after deceased donor liver transplantation[J]. World J Hepatol, 2015, 7(30): 2927-2932.
23
Garg B, Rastogi R, Gupta S, et al. Evaluation of biliary complications on magnetic resonance cholangiopancreatography and comparison with direct cholangiography after living-donor liver transplantation[J]. Clin Radiol, 2017, 72(6): 518.e9- 518.e15.
24
Popov MV, Voskanyan SE, Dunaev AP, et al. Biliary anastomotic strictures after liver transplantation[J]. Saratovskij Naučno-medicinskij Žurnal, 2019, 15(2): 296-301.
25
Heinemann M, Tafrishi B, Pischke S, et al. Endoscopic retrograde cholangiography and percutaneous transhepatic cholangiodrainage in biliary strictures after liver transplantation: Long-term outcome predictors and influence on patient survival[J]. Liver Int, 2019, 39(6): 1155-1164.
26
Harputluoglu M, Demirel U, Caliskan AR, et al. Endoscopic treatment of biliary complications after duct-to-duct biliary anastomosis in pediatric liver transplantation[J]. Langenbecks Arch Surg, 2019, 404(7): 875-883.
27
Sendino O, Fernández-Simon A, Law R, et al. Endoscopic management of bile leaks after liver transplantation: An analysis of two high-volume transplant centers[J]. United European Gastroenterol J, 2018, 6(1): 89-96.
28
Schneider W, Bortfeld T, Schlegel W. Correlation between CT numbers and tissue parameters needed for Monte Carlo simulations of clinical dose distributions[J]. Phys Med Biol, 2000, 45(2): 459-478.
29
曾婕,任杰,郑荣琴,等. 超声检测肝门部胆管在鉴别肝移植术后胆道狭窄类型中的价值[J]. 中华超声影像学杂志2012, 21(5): 394-396.
30
García-Cano J. Endoscopic management of benign biliary strictures[J]. Curr Gastroenterol Rep, 2013, 15(8): 336.
31
Zhang YC, Qu EZ, Ren J, et al. New diagnosis and therapy model for ischemic-type biliary lesions following liver transplantation-a retrospective cohort study[J]. PLoS One, 2014, 9(9): e105795.
32
Ren J, Zheng BW, Wang P, et al. Revealing impaired blood supply to the bile ducts on contrast-enhanced ultrasound: a novel diagnosis method to ischemic-type biliary lesions after orthotropic liver transplantation[J]. Ultrasound Med Biol, 2013, 39(5): 753-760.
33
Luyao Z, Xiaoyan X, Huixiong X, et al. Percutaneous ultrasound-guided cholangiography using microbubbles to evaluate the dilated biliary tract: initial experience[J]. Eur Radiol, 2012, 22(2): 371-378.
34
Ren J, Lu MD, Zheng RQ, et al. Evaluation of the microcirculatory disturbance of biliary ischemia after liver transplantation with contrast-enhanced ultrasound: preliminary experience[J]. Liver Transpl, 2009, 15(12): 1703-1708.
35
丁蕾,张振,刘福全. 实时超声弹性成像技术对原位肝移植患者术后缺血型胆道病变临床评估价值分析[J]. 实用肝脏病杂志2018, 21(6): 963-966.
36
Boraschi P, Donati F, Pacciardi F, et al. Biliary complications after liver transplantation: Assessment with MR cholangiopancreatography and MR imaging at 3T device[J]. Eur J Radiol, 2018, 106: 46-55.
37
Zhu XD, Shen ZY, Chen XG, et al. Pathotyping and clinical manifestations of biliary cast syndrome in patients after an orthotopic liver transplant[J]. Exp Clin Transplant, 2013, 11(2): 142-149.
38
Giesbrandt KJ, Bulatao IG, Keaveny AP, et al. Radiologic characterization of ischemic cholangiopathy in donation-after-cardiac-death liver transplants and correlation with clinical outcomes[J]. AJR Am J Roentgenol, 2015, 205(5): 976-984.
39
Seehofer D, Eurich D, Veltzke-Schlieker W, et al. Biliary complications after liver transplantation: old problems and new challenges[J]. Am J Transplant, 2013, 13(2): 253-265.
40
Landi F, de′Angelis N, Sepulveda A, et al. Endoscopic treatment of anastomotic biliary stricture after adult deceased donor liver transplantation with multiple plastic stents versus self-expandable metal stents: a systematic review and meta-analysis[J]. Transpl Int, 2018, 31(2): 131-151.
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