Therapeutic challenges in the multidisciplinary approach of liver transplant-associated biliary tract complications in Roux-en-Y gastric bypass patients.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2026-04-01 DOI:10.51821/89.2.15150

J L Nuñez-Pizarro, G Dahlqvist, L Monino, P Deprez, P Goffette, E Bonaccorsi Riani, L Coubeau, O Ciccarelli, T Moreels

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引用次数: 0

Abstract

Introduction: This case series addresses the available non-surgical approaches for the management of biliary tract complications in liver transplant (LT) patients with a history of Roux-en-Y gastric bypass (RYGB).

Methods: Descriptive single center case series of endoscopic and radiological treatments of biliary tract complications in LT recipients with a history of RYGB.

Results: Balloon enteroscopy-assisted-ERCP (BE-ERCP), endoscopic ultrasound (EUS)-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE), percutaneous transhepatic biliary drainage (PTBD), or a combination of these procedures are used according to the clinical indication or the surgical biliary reconstruction (duct-to-duct anastomosis vs hepaticojejunostomy) in conjunction with RYGB. Case 1 was treated with PTBD, followed by BE-ERCP; case 2 with BE-ERCP, followed by EDGE; case 3 with PTBD, followed by EDGE; and case 4 with BE-ERCP.

Conclusion: Both BE-ERCP, EDGE and PTBD in different combinations are reliable non-surgical therapeutic approaches for treating LT-associated biliary tract complications in RYGB patients.

查看原文本刊更多论文

Roux-en-Y胃旁路手术患者肝移植相关胆道并发症的多学科治疗挑战。

简介：本病例系列探讨了有Roux-en-Y胃旁路术（RYGB）病史的肝移植（LT）患者胆道并发症的非手术治疗方法。方法：描述性单中心病例系列的内镜和放射治疗胆道并发症的肝移植受者有RYGB的历史。结果：根据临床适应证，可采用气囊小肠镜辅助ercp （BE-ERCP）、超声内镜（EUS）引导下经胃内镜逆行胆管造影（EDGE）、经皮经肝胆道引流（PTBD）或以上方法的组合，或胆道外科重建（管间吻合vs肝空肠吻合术）联合RYGB。病例1先行PTBD治疗，然后行BE-ERCP治疗；病例2为BE-ERCP，其次为EDGE；病例3伴PTBD，其次为EDGE；病例4采用BE-ERCP。结论：BE-ERCP、EDGE和PTBD不同组合均是治疗RYGB患者lt相关胆道并发症的可靠非手术治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.