KMID : 1048120200090010031
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International Journal of Gastrointestinal Intervention 2020 Volume.9 No. 1 p.31 ~ p.33
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A case with combined postoperative bile leakage and anastomotic stricture after liver transplantation treated with magnet compression anastomosis
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Han Sang-Jo
Jang Sung-Ill Yoo Sung-Hwan Lee Dong-Ki
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Abstract
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Liver transplantation (LT) is a viable treatment for fatal end-stage liver disease. Anastomotic bile leakage and anastomotic stricture are considered as major post-LT complications. Stent insertion by endoscopic retrograde cholangiopancreatography and percutaneous transhepatic biliary drainage is the conventional treatment for post-LT anastomotic biliary stricture. In cases in which these conventional modalities fail, magnet compression anastomosis (MCA) can be applied. We reported a case in which post-LT bile leakage and anastomotic stricture were treated by MCA and using a fully covered self-expandable metal stent (FCSEMS). The FCSEMS was removed 3 months later, at which time the stricture and the leakage had resolved.
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KEYWORD
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Anastomotic leak, Liver transplantation, Magnets, Self expandable metallic stents
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