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In the case of biliary anastomotic stricture (BAS), endoscopic intervention is mostly performed as the initial treatment. In this study, we evaluated the efficacy of endoscopic treatment for BAS in patients with placement of splints.\nMethods: A retrospective study was conducted with 148 adult patients who underwent LDLTwith duct-to-duct biliary anastomosis from 2005 to 2015. A biliary splint was placed in all cases; the splint was removed 3 months after the LDLT. Patients who postoperatively underwent endoscopic treatment for BAS were divided into successful and failed groups.\nResults: A total of 24 patients (16.2%) underwent endoscopic treatment postoperatively. The successful group included 14 patients (63.6%) and the failed group included 8 (36.4%). Comparison between the 2 groups in terms of demographic, pretransplant, intraoperative, and posttransplant data did not show any significant differences. Two patients developed BAS within 3 months after LDLT. 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Efficacy of a Biliary Splint at the Anastomosis in Living Donor Liver Transplantation-With a Special Reference to Postoperative Endoscopic Treatment for Biliary Stricture
http://hdl.handle.net/10069/00040736
http://hdl.handle.net/10069/0004073612a2505c-6537-4539-8d7e-548350928a83
名前 / ファイル | ライセンス | アクション |
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ISYK1300_Okada.pdf (214.5 kB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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公開日 | 2021-04-22 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Efficacy of a Biliary Splint at the Anastomosis in Living Donor Liver Transplantation-With a Special Reference to Postoperative Endoscopic Treatment for Biliary Stricture | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Biliary anastomotic stricture | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Biliary complication | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Biliary splint | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Endoscopic retrograde cholangiography | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Living donor liver transplantation | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
著者 |
岡田, 怜美
× 岡田, 怜美 |
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著者別名 | ||||||
姓名 | Okada, Satomi | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective: For successful biliary anastomosis in living donor liver transplantation (LDLT), the efficacy of a biliary splint at the anastomosis remains controversial. In the case of biliary anastomotic stricture (BAS), endoscopic intervention is mostly performed as the initial treatment. In this study, we evaluated the efficacy of endoscopic treatment for BAS in patients with placement of splints. Methods: A retrospective study was conducted with 148 adult patients who underwent LDLTwith duct-to-duct biliary anastomosis from 2005 to 2015. A biliary splint was placed in all cases; the splint was removed 3 months after the LDLT. Patients who postoperatively underwent endoscopic treatment for BAS were divided into successful and failed groups. Results: A total of 24 patients (16.2%) underwent endoscopic treatment postoperatively. The successful group included 14 patients (63.6%) and the failed group included 8 (36.4%). Comparison between the 2 groups in terms of demographic, pretransplant, intraoperative, and posttransplant data did not show any significant differences. Two patients developed BAS within 3 months after LDLT. In these 2 patients, the splint was dislocated, and endoscopic intervention was not successful. Twenty patients developed BAS later than 3 months after LDLT. In contrast to the success rate of endoscopic intervention of 73.3% in patients without splint dislocation (n¼15), it was 60% in the patient with dislocation of the splint (n ¼ 5). Conclusion: The prevention of early biliary stricture by placing a splint may lead to an improved success rate of endoscopic intervention, since endoscopic intervention was difficult in the cases of early biliary stricture within 3 months. |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 長崎大学学位論文 学位記番号:博(医歯薬)甲第1300号 学位授与年月日:令和3年3月3日 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Author: Satomi Okada, Akihiko Soyama, Masaaki Hidaka, Tomohiko Adachi, Shinichiro Ono, Koji Natsuda, Takanobu Hara, Mitsuhisa Takatsuki, Susumu Eguchi | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Citation: International Surgery, 104(1-2), pp.27–32; 2019 | |||||
書誌情報 |
International Surgery 巻 104, 号 1-2, p. 27-32, 発行日 2019 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0020-8868 | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 2520-2456 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.9738/INTSURG-D-17-00134.1 | |||||
権利 | ||||||
権利情報 | Copyright (c) International College of Surgeons | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | 成人生体肝移植後の胆管狭窄に対する内視鏡的治療における胆道スプリントの有用性 | |||||
出版者 | ||||||
出版者 | The International College of Surgeons | |||||
関係URI | ||||||
識別子タイプ | HDL | |||||
関連識別子 | http://hdl.handle.net/10069/40569 | |||||
学位名 | ||||||
学位名 | 博士(医学) | |||||
学位授与機関 | ||||||
学位授与機関識別子Scheme | kakenhi | |||||
学位授与機関識別子 | 17301 | |||||
学位授与機関名 | Nagasaki University (長崎大学) | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2021-03-03 | |||||
学位授与番号 | ||||||
学位授与番号 | 甲医歯薬第1300号 | |||||
学位の種類 | ||||||
課程博士 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Nagasaki University (長崎大学), 博士(医学) (2021-03-03) |