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dc.contributor.authorRajadhyaksha, Amar
dc.contributor.authorKim, Ducksoo
dc.contributor.authorChari, Ravi
dc.contributor.authorFrassica, Joseph J.
dc.contributor.authorPrimack, William A.
dc.contributor.authorKatz, Eliezer
dc.date2022-08-11T08:09:33.000
dc.date.accessioned2022-08-23T16:35:11Z
dc.date.available2022-08-23T16:35:11Z
dc.date.issued2001-02-15
dc.date.submitted2009-03-24
dc.identifier.citationLiver Transpl. 2001 Feb;7(2):142-6. <a href="http://dx.doi.org/10.1053/jlts.2001.21283">Link to article on publisher's site</a>
dc.identifier.issn1527-6465 (Print)
dc.identifier.doi10.1053/jlts.2001.21283
dc.identifier.pmid11172399
dc.identifier.urihttp://hdl.handle.net/20.500.14038/38501
dc.description.abstractBiliary complications occur in 6% to 34% of patients who undergo orthotopic liver transplantation. Strictures at the anastomosis site or elsewhere in the biliary tract are common. These strictures are amenable to interventional radiological and surgical procedures; however, retransplantation is sometimes an inevitable outcome. An 8-year-old boy received combined liver and kidney transplants May 31, 1998. Hepatic artery thrombosis was diagnosed postoperative day 1 and treated with revascularization. The choledochojejunostomy was revised twice and resulted in a high hepaticojejunostomy. Significant strictures on both the right and left hepatic ducts at the anastomosis site were unsuccessfully treated by multiple interventional radiological procedures. The option of retransplantation was seriously explored. Simpson's atherectomy device was used in a novel approach February 24, 1999, and strictures on both ducts were successfully treated. At 1-year postprocedure, the patient has normal liver function with no evidence of recurrence of the strictures. Further experience with this novel technique is required to assess its role in treating biliary strictures post liver transplantation.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=11172399&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1053/jlts.2001.21283
dc.subjectAtherectomy
dc.subjectBalloon Dilatation
dc.subjectChild
dc.subjectCholestasis
dc.subjectEquipment Design
dc.subjectHumans
dc.subjectJejunostomy
dc.subjectKidney Transplantation
dc.subjectLiver
dc.subjectLiver Transplantation
dc.subjectMale
dc.subjectStents
dc.subjectTreatment Outcome
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleA novel approach in treating recurrent bilateral hepaticojejunostomy biliary strictures post-liver transplantation: Successful use of Simpson's atherectomy device
dc.typeJournal Article
dc.source.journaltitleLiver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
dc.source.volume7
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/1373
dc.identifier.contextkey794870
html.description.abstract<p>Biliary complications occur in 6% to 34% of patients who undergo orthotopic liver transplantation. Strictures at the anastomosis site or elsewhere in the biliary tract are common. These strictures are amenable to interventional radiological and surgical procedures; however, retransplantation is sometimes an inevitable outcome. An 8-year-old boy received combined liver and kidney transplants May 31, 1998. Hepatic artery thrombosis was diagnosed postoperative day 1 and treated with revascularization. The choledochojejunostomy was revised twice and resulted in a high hepaticojejunostomy. Significant strictures on both the right and left hepatic ducts at the anastomosis site were unsuccessfully treated by multiple interventional radiological procedures. The option of retransplantation was seriously explored. Simpson's atherectomy device was used in a novel approach February 24, 1999, and strictures on both ducts were successfully treated. At 1-year postprocedure, the patient has normal liver function with no evidence of recurrence of the strictures. Further experience with this novel technique is required to assess its role in treating biliary strictures post liver transplantation.</p>
dc.identifier.submissionpathoapubs/1373
dc.contributor.departmentDepartment of Surgery
dc.source.pages142-6


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