ERCP-ROLE OF CHOLANGIOSCOPY AND THERAPEUTIC OPTIONS IN COMPLEX ANASTOMOTIC STRICTURES AFTER LIVER TRANSPLANTATION

ROLE OF CHOLANGIOSCOPY AND THERAPEUTIC OPTIONS IN COMPLEX ANASTOMOTIC STRICTURES AFTER LIVER TRANSPLANTATION

Video Transcription

Video Summary

This video transcript describes the case of a 35-year-old male patient who underwent liver transplantation and developed a biliary anastomotic stricture. The patient's stricture was identified through cross-sectional imaging and confirmed by liver biopsy. The stricture was complex, long, filiform, and tortuous, making it difficult to treat. Cholangioscopy was used to guide the placement of guide wires and dilate the stricture. Multiple procedures were performed, including the placement of plastic and metal stents. The patient experienced clinical and biochemical improvement and has remained asymptomatic without the need for further procedures. Cholangioscopy proved to be a helpful tool in the assessment and treatment of complex biliary anastomosis strictures after liver transplantation. The use of a metal stent may be a more effective option in cases with axis deviation.

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Honorable Mention

Keywords

liver transplantation

biliary anastomotic stricture

cholangioscopy

guide wires

metal stents