GI Endoscopy · 1 min read

ASGE Guideline: Anastomotic Biliary Stricture Post-Transplant

COURSE VIDEO

Course: Post Liver Transplant

Bile duct strictures following liver transplantation are easily and conveniently classified as anastomotic strictures or non-anastomotic strictures (NAS). NAS are characterized by far less favorable response to...

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Bile duct strictures following liver transplantation are easily and conveniently classified as anastomotic strictures or non-anastomotic strictures (NAS). NAS are characterized by far less favorable response to endoscopic management, higher recurrence rates, graft loss and the need for retransplantation. FCSEMS and multiple plastic stents (MPS) have been used to treat these complications. Currently, FCSEMS is comparable to MPS for the management of benign biliary strictures in terms of stricture resolution rates with the requirement of a lesser number of ERCP sessions, irrespective of etiology with similar adverse effects. We present the case of a patient anastomotic biliary stricture after liver transplantation treated with FCSEMS.

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