transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologists10.23873/2074-0506-2010-0-3-4-27-31transplantologiya-291Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL INVESTIGATIONSЭндоскопические транспапиллярные вмешательства в диагностике и лечении билиарных осложнений у больных после ортотопической трансплантации печениEndoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantationХубутияА. Ш.KhubutiaM. Sh.ЧжаоА. В.ChzhaoA. V.СолдатовЕ. А.SoldatovE. A.ПинчукТ. П.PinchukT. P.

Татьяна Павловна Пинчук

196015@bk.ruЛотовА. Н.LotovA. N.ПавликоваЕ. Ю.PavlikovaE. Yu.АлексеевК. И.AlekseyevK. I.НИИ скорой помощи им. Н.В. СклифосовскогоРоссияN.V. Sklifosovsky Research Institute of Emergency CareRussian Federation20101708201803-42731Copyright © Хубутия А.Ш., Чжао А.В., Солдатов Е.А., Пинчук Т.П., Лотов А.Н., Павликова Е.Ю., Алексеев К.И., 20182018Хубутия А.Ш., Чжао А.В., Солдатов Е.А., Пинчук Т.П., Лотов А.Н., Павликова Е.Ю., Алексеев К.И.Khubutia M.S., Chzhao A.V., Soldatov E.A., Pinchuk T.P., Lotov A.N., Pavlikova E.Y., Alekseyev K.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/291

Цель исследования – оценка эффективности эндоскопических транспапиллярных вмешательств в диагностике и лечении билиарных осложнений у больных после ортотопической трансплантации печени (ОТП).

Материалы и методы

Материалы и методы. За период с января 2000 по октябрь 2010 г. в НИИ скорой помощи им. Н.В. Склифосовского выполнена 171 ОТП. Из них эндоскопические транспапиллярные вмешательства на желчных протоках по поводу билиарных осложнений были предприняты у 13 (7,6%) пациентов. У этих больных в итоге выполнено 33 эндоскопические ретроградные холангиографии, 13 эндоскопических папиллосфинктеротомий, 5 бужирований и 22 стентирования.

Результаты

Результаты. Летальных исходов, связанных с эндоскопическими вмешательствами, не было. В целом непосредственный результат эндоскопического лечения был положительный у 10 (77,0%) больных. Полученные нами результаты эндоскопического лечения сопоставимы с данными литературы.

Выводы

Выводы. Эндоскопическая ретроградная холангиография позволяет выявить стриктуры и несостоятельность билиобилиарных анастомозов после ОТП, которые служат показанием к эндоскопическому билиодуоденальному стентированию с этапным рестентированием.

Objective

Objective: to evaluate the efficiency of endoscopic transpapillary interventions in the diagnosis and treatment of biliary complications in patients after orthotopic liver transplantation (OLT).

Materials and methods

Materials and methods. One hundred and seventy-one OLTs were carried out at the N.V. Sklifosovsky Research Institute of Emergency Care in January to October 2010. Of them, endoscopic transpapillary interventions into the bile ducts for biliary complications were undertaken in 13 (7.6%) patients. These patients underwent a total of 33 endoscopic retrograde cholangiographies (ERCG), 13 endoscopic papillosphincterotomies, 5 bouginages, and 22 stentings.

Results

Results. There were no fatal outcomes associated with endoscopic interventions. By and large, the immediate result of endoscopic treatment was positive in 10 (77.0%) patients. Our results of endoscopic treatment were comparable with the data available in the literature.

Conclusion

Conclusion. ERCG can reveal post-OLT bile-biliary anastomostic strictures and failure, which serve as an indication for endoscopic bilioduodenal stenting with stepwise restenting.

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The authors declare that there are no conflicts of interest present.