Volume 5 Issue 3
May  2014
Turn off MathJax
Article Contents
Article Navigation >  ORGAN TRANSPLANTATION  > 2014  >  5(3): 178-181
Lyu Yan, Liao Mei, Cao Junyan, et al. Preliminary discussion of ultrasonograms of biliary sludge and its relationship with the prognosis of patients after liver transplantation[J]. ORGAN TRANSPLANTATION, 2014, 5(3): 178-181. doi: 10.3969/j.issn.1674-7445.2014.03.011
Citation: Lyu Yan, Liao Mei, Cao Junyan, et al. Preliminary discussion of ultrasonograms of biliary sludge and its relationship with the prognosis of patients after liver transplantation[J]. ORGAN TRANSPLANTATION, 2014, 5(3): 178-181. doi: 10.3969/j.issn.1674-7445.2014.03.011
shu

Preliminary discussion of ultrasonograms of biliary sludge and its relationship with the prognosis of patients after liver transplantation

doi: 10.3969/j.issn.1674-7445.2014.03.011

  • Department of Ultrasonography, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China

  • Received Date: 2014-02-26
    Available Online: 2021-01-19
  • Publish Date: 2014-05-15
    Abstract
  •   Objective   To investigate the ultrasonograms of biliary sludge and its relationship with the prognosis of patients after liver transplantation.   Methods   Ultrasonograms of 36 patients with biliary sludge after liver transplantation were retrospectively analyzed. These patients were divided into two groups according to the different treatment outcomes: poor prognosis group and favorable prognosis group. The characteristics of initial ultrasonograms of biliary sludge when they were found at first time compared between two groups.   Results  Biliary sludge combined with ischemic-type biliary lesions accounted for 95%(19/20) in poor prognosis group while 13%(2/16) in favorable prognosis group. There was significant difference between two groups(P < 0.05). In favorable prognosis group, biliary sludge was found locating in hepatic hilar region in all 16 cases (16/16) and the sludge had clear boundaries dissociated with bile duct walls were observed in 14 cases (14/16). There was no incrassation of bile duct walls in hepatic hilar region, nor dilation of intrahepatic bile ducts observed in 14 cases (14/16). In poor prognosis group, biliary sludge was observed widespread not only in hepatic hilar region but also in intrahepatic biliary ducts in 10 cases (10/20), and the boundaries between sludge and bile duct walls were vague in 15 cases (15/20). Obvious incrassation of bile duct walls in hepatic hilar region was observed in 16 cases (16/20), and dilation of intrahepatic bile ducts was observed in 19 cases (19/20). There were significant differences in the above 4 ultrasound features between two groups (all in P < 0.05).   Conclusions   There are differences in the ultrasonograms of biliary sludge between different prognosis groups. Biliary sludge combined with ischemic-type biliary lesions suggests a poor prognosis, which may need more active interventional treatments.

     

    • FullText(HTML)
  • loading
    • References(17)
  • [1]
    Zhu XD, Shen ZY, Chen XG, et al. Pathotyping and clinical manifestations of biliary cast syndrome in patients after an orthotopic liver transplant[J]. Exp Clin Transplant,2013,11(2):142-149. doi: 10.6002/ect
    [2]
    易述红,易慧敏,傅斌生,等. 联合肝门板的肝门-空肠吻合术治疗肝移植术后缺血性胆道病变患者[J/CD]. 中华肝脏外科手术学电子杂志,2013,2(1):13-16.

    Yi SH, Yi HM, Fu BS, et al. Roux-en-Y hepatojejunostomy combined with hilar plate in the treatment of ischemic-type biliary[J/CD]. Chin J Hepat Surg:Electronic Edition, 2013,2(1):13-16.
    [3]
    Yang YL, Shi LJ, Lin MJ, et al. Clinical analysis and significance of cholangiography for biliary cast/stone after orthotopic liver transplantation[J]. J Nanosci Nanotechnol,2013,13(1):171-177. doi: 10.1166/jnn.2013.6790
    [4]
    张子宏,夏强,张建军,等. 活体右半供肝移植后胆道并发症的中长期随访研究及危险因素分析[J].中华器官移植杂志,2012,33(4):208-211.

    Zhang ZH, Xia Q, Zhang JJ, et al. Risk factors and long-term follow-up results for biliary complications after right lobe living donor liver transplantation[J]. Chin J Organ Transplant, 2012,33(4):208-211.
    [5]
    Daneshi M, Rajayogeswaran B, Peddu P, et al. Demonstration of an occult biliary-arterial fistula using percutaneous contrast-enhanced ultrasound cholangiography in a transplanted liver[J]. J Clin Ultrasound, 2014, 42(2):108-111. doi: 10.1002/jcu.22048
    [6]
    张剑文,傅斌生,张彤,等. 再次肝移植治疗移植肝缺血型胆道损伤15例报告[J].器官移植,2012,3(4):190-194. http://www.organtranspl.com/browse/detail/qkid/32/id/606.html

    Zhang JW, Fu BS, Zhang T, et al. Retransplantation for ischemic type biliary lesion of the first transplanted live graft: 15 cases report[J]. Organ Transplant,2012,3(4):190-194. http://www.organtranspl.com/browse/detail/qkid/32/id/606.html
    [7]
    Itri JN, Heller MT, Tublin ME. Hepatic transplantation: postoperative complications[J].Abdom Imaging,2013,38(6):1300-1333. doi: 10.1007/s00261-013-0002-z
    [8]
    Yang YL, Zhang C, Lin MJ, et al. Biliary casts after liver transplantation: morphology and biochemical analysis[J]. World J Gastroenterol, 2013, 19(43):7772-7777. doi: 10.3748/wjg.v19.i43.7772
    [9]
    Yoon JH. Biliary papillomatosis: correlation of radiologic findings with percutaneous transhepatic cholangioscopy[J]. J Gastrointestin Liver Dis,2013,22(4):427-433. http://cn.bing.com/academic/profile?id=2185081416&encoded=0&v=paper_preview&mkt=zh-cn
    [10]
    Sheng R, Ramirez CB, Zajko AB, et al. Biliary stones and sludge in liver transplant patients: a 13-year experience[J]. Radiology,1996,198(1):243-247. doi: 10.1148/radiology.198.1.8539387
    [11]
    易述红,陈规划,陆敏强,等.原位肝移植术后胆道结石的临床研究[J].中华肝胆外科杂志,2005,11(4):234-236.

    Yi SH, Chen GH, Lu MQ, et al. Clinical study on biliary stones and sludge following orthotopic liver transplantation[J]. Chin J Hepatobiliary Surg, 2005, 11(4):234-236.
    [12]
    曾婕,任杰,郑荣琴,等.超声检测肝门部胆管在鉴别肝移植术后胆道狭窄类型中的价值[J].中华超声影像学杂志,2012,21(5):394-396..

    Zeng J, Ren J, Zheng RQ, et al. Identification of different types of biliary strictures after orthotopic liver transplantation by hilar bile duct using ultrasonography[J]. Chin J Ultrason,2012,21(5):394-396.
    [13]
    Paik WH, Lee SH, Ryu JK, et al. Long-term clinical outcomes of biliary cast syndrome in liver transplant recipients[J]. Liver Transpl,2013,19(3):275-282. doi: 10.1002/lt.v19.3
    [14]
    Kinner S, Hunold P. Detection of cast in biliary cast syndrome[J]. Radiology,2013,266(1):366-367. doi: 10.1148/radiol.12121350
    [15]
    Apestegui C, Ciccarelli O, Lerut J. Biliary cast syndrome after liver transplantation[J]. ANZ J Surg,2012,82(11):849-850. doi: 10.1111/ans.2012.82.issue-11
    [16]
    Morelli J, Mulcahy HE, Willner IR, et al. Long-term outcomes for patients with post-liver transplant anastomotic biliary strictures treated by endoscopic stent placement[J]. Gastrointest Endosc,2003,58(3):374-379. doi: 10.1067/S0016-5107(03)00011-7
    [17]
    Chan CH, Donnellan F, Byrne MF, et al. Response to endoscopic therapy for biliary anastomotic strictures in deceased versus living donor liver transplantation[J]. Hepatobiliary Pancreat Dis Int,2013,12(5):488-493. doi: 10.1016/S1499-3872(13)60077-6
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (231) PDF downloads(3) Cited by()
    Proportional views
    Related

    WeChat Subscription Account

    Wechat Service Account

    Contact Us
    • Tel：020-38736410
    • Email: organtranspl@163.com
    • Address：The Third Affiliated Hospital of Sun Yat-sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou
    • Editorial Office of Organ Transplantation  粤ICP备2021030844号
    Links

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return