Cited 59 times in
Magnetic compression anastomosis is useful in biliary anastomotic strictures after living donor liver transplantation
DC Field | Value | Language |
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dc.contributor.author | 장성일 | - |
dc.contributor.author | 김지현 | - |
dc.contributor.author | 원종윤 | - |
dc.contributor.author | 이광훈 | - |
dc.contributor.author | 이동기 | - |
dc.contributor.author | 유정환 | - |
dc.date.accessioned | 2014-12-20T17:21:01Z | - |
dc.date.available | 2014-12-20T17:21:01Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0016-5107 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/94435 | - |
dc.description.abstract | BACKGROUND: An anastomotic biliary stricture is a complication of living donor liver transplantation (LDLT) performed using duct-to-duct anastomosis. Despite advances in treating this complication, there is no one established treatment protocol. OBJECTIVE: To investigate the safety, effectiveness, and mid-term outcome of magnetic compression anastomosis (MCA) for treating biliary obstruction after LDLT when the obstruction cannot be resolved by using percutaneous or peroral methods. DESIGN: Retrospective, observational study with standardized treatment and follow-up. SETTING: Tertiary-care academic medical center. PATIENTS: Twelve patients underwent MCA procedures to treat anastomosis site stricture after LDLT. INTERVENTIONS: MCA. MAIN OUTCOME MEASUREMENTS: Bile duct patency, technique performance, and complications were evaluated. RESULTS: We achieved magnet approximation at the anastomotic stricture in 10 of 12 patients (83.3%). The magnets failed to approximate in 2 patients. We achieved recanalization of the stricture site in 10 of 10 patients. We removed an internal catheter in 9 patients. The mean interval from magnet approximation to removal was 74.2 days (range 14-181 days). The mean time from recanalization to removal of the internal catheter was 183 days (range 51-266 days). Patients were examined regularly after removing the internal catheter with a mean follow-up period of 331 days (range 148-581 days). The observed MCA-related complications consisted of 1 case of mild cholangitis and 1 recurrence of the anastomotic stricture. LIMITATIONS: Nonrandomized study design. CONCLUSIONS: MCA safely and effectively resolved post-LDLT biliary duct-to-duct anastomotic strictures that could not be resolved using conventional methods, such as ERCP and percutaneous transhepatic biliary drainage. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | GASTROINTESTINAL ENDOSCOPY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Anastomosis, Surgical/adverse effects | - |
dc.subject.MESH | Bile Ducts/surgery* | - |
dc.subject.MESH | Cholangiopancreatography, Endoscopic Retrograde/methods | - |
dc.subject.MESH | Cholestasis/diagnostic imaging | - |
dc.subject.MESH | Cholestasis/etiology | - |
dc.subject.MESH | Cholestasis/therapy* | - |
dc.subject.MESH | Constriction, Pathologic/diagnostic imaging | - |
dc.subject.MESH | Constriction, Pathologic/etiology | - |
dc.subject.MESH | Constriction, Pathologic/therapy | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver Transplantation/adverse effects* | - |
dc.subject.MESH | Living Donors* | - |
dc.subject.MESH | Magnets* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | null | - |
dc.title | Magnetic compression anastomosis is useful in biliary anastomotic strictures after living donor liver transplantation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Biochemistry & Molecular Biology (생화학,분자생물학) | - |
dc.contributor.googleauthor | Sung Ill Jang | - |
dc.contributor.googleauthor | Jie-Hyun Kim | - |
dc.contributor.googleauthor | Jong Yoon Won | - |
dc.contributor.googleauthor | Kwang Hoon Lee | - |
dc.contributor.googleauthor | Hee Wook Kim | - |
dc.contributor.googleauthor | Jung Whan You | - |
dc.contributor.googleauthor | Takao Itoi | - |
dc.contributor.googleauthor | DongKi Lee | - |
dc.identifier.doi | 10.1016/j.gie.2011.06.026 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03441 | - |
dc.contributor.localId | A02506 | - |
dc.contributor.localId | A02676 | - |
dc.contributor.localId | A02723 | - |
dc.contributor.localId | A00996 | - |
dc.contributor.localId | A02443 | - |
dc.relation.journalcode | J00920 | - |
dc.identifier.eissn | 1097-6779 | - |
dc.identifier.pmid | 21855872 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0016510711018657 | - |
dc.contributor.alternativeName | Jang, Sung Ill | - |
dc.contributor.alternativeName | Kim, Ji Hyun | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | You, Jung Whan | - |
dc.contributor.alternativeName | Lee, Kwang Hun | - |
dc.contributor.alternativeName | Lee, Dong Ki | - |
dc.contributor.affiliatedAuthor | Jang, Sung Ill | - |
dc.contributor.affiliatedAuthor | Lee, Kwang Hun | - |
dc.contributor.affiliatedAuthor | Lee, Dong Ki | - |
dc.contributor.affiliatedAuthor | Kim, Ji Hyun | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 74 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1040 | - |
dc.citation.endPage | 1048 | - |
dc.identifier.bibliographicCitation | GASTROINTESTINAL ENDOSCOPY, Vol.74(5) : 1040-1048, 2011 | - |
dc.identifier.rimsid | 27614 | - |
dc.type.rims | ART | - |
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