关于利用磁力再通术治疗肝移植术后胆道吻合口狭窄的专家建议

Expert recommendation on magnetic recanalization for the treatment of biliary anastomosis stricture after liver transplantation

  • 摘要: 胆道吻合口狭窄是肝移植术后的常见并发症之一。目前内镜下逆行性胰胆管造影术(ERCP)和经皮经肝胆道引流术(PTCD)为首选治疗。对于严重吻合口狭窄或闭塞的病例,常规方法难以完成后继的治疗,磁力再通技术为治疗此类病例提供了另一种选择。本文在系统回顾国内外文献的基础上,结合专家经验,在适应证和禁忌证、磁体的选择与设计、操作步骤、注意事项及并发症防治等方面形成磁力再通术治疗肝移植术后胆道吻合口狭窄的专家建议。

     

    Abstract: Anastomosis stricture is a common complication after liver transplantation. Endoscopic retrograde cholangiopancreaticography (ERCP) or percutaneous transhepatic cholangial drainage (PTCD) is the first recommended method. However, when the stricture is severe or totally occluded, conventional ways are unavailable. Magnetic recanalization is another useful choice for these cases. Based on the comprehensive literature review and experts' experiences, expert recommendations, focusing on magnetic recanalization for the treatment of biliary anastomosis stricture after liver transplantation, were achieved on the indications or contraindications, magnetic design, operation steps, matters need attentions and complication prevention.

     

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