Volume 31, Issue 2 e12877
ORIGINAL ARTICLE

Biliary strictures complicating liver transplantation in pediatric patients: Experience in a South American transplant center

Alfonso J. Holguin

Corresponding Author

Alfonso J. Holguin

Department of Radiology, Fundación Valle de Lili, Cali, Colombia

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

Correspondence

Alfonso J. Holguin, Department of Radiology Fundación Valle de Lili, Cali, Colombia.

Email: [email protected]

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Sara Rodriguez-Takeuchi

Sara Rodriguez-Takeuchi

Department of Radiology, Fundación Valle de Lili, Cali, Colombia

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

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Laura Ospina

Laura Ospina

Department of Radiology, Fundación Valle de Lili, Cali, Colombia

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

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Diana Acosta

Diana Acosta

Department of Radiology, Fundación Valle de Lili, Cali, Colombia

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Veronica Botero

Veronica Botero

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

Department of Pediatrics, Fundación Valle de Lili, Cali, Colombia

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Laura Thomas

Laura Thomas

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

Division of Organ Transplantation, Department of Surgery, Fundación Valle de Lili, Cali, Colombia

Centro Para la Investigación en Cirugía Avanzada y Trasplantes, CICAT, Cali, Colombia

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Jorge Villegas

Jorge Villegas

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

Division of Organ Transplantation, Department of Surgery, Fundación Valle de Lili, Cali, Colombia

Centro Para la Investigación en Cirugía Avanzada y Trasplantes, CICAT, Cali, Colombia

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Gabriel J. Echeverry

Gabriel J. Echeverry

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

Division of Organ Transplantation, Department of Surgery, Fundación Valle de Lili, Cali, Colombia

Centro Para la Investigación en Cirugía Avanzada y Trasplantes, CICAT, Cali, Colombia

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Luis Caicedo

Luis Caicedo

ICESI University, Cali, Colombia

Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia

Division of Organ Transplantation, Department of Surgery, Fundación Valle de Lili, Cali, Colombia

Centro Para la Investigación en Cirugía Avanzada y Trasplantes, CICAT, Cali, Colombia

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First published: 26 November 2016
Citations: 11

Abstract

Objective

To describe the experience of percutaneous transhepatic cholangiography (PTC) with biliary dilatation and drainage after pediatric liver transplantation and to determine the long-term outcome of this procedure.

Methods

Retrospective study from 2001 to 2013. Follow-up after treatment was also undertaken. A survival analysis was performed in patients in whom the procedure and eventual removal of the catheter were successful.

Results

In all, 196 children received liver transplants; 40 of them (20 boys and 20 girls; median age of 4 years) were treated using PTC due to biliary complications. Sixty-one PTC procedures were performed in 40 liver transplant recipients. Technically successful PTC was achieved in 87.5% of the patients. The probability of a patient not developing unfavorable outcomes 1, 5, and 10 years after treatment was 88.9%, 83.0%, and 74.1%.

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