Biliary strictures complicating liver transplantation in pediatric patients: Experience in a South American transplant center
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]
Search for more papers by this authorSara 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
Search for more papers by this authorLaura Ospina
Department of Radiology, Fundación Valle de Lili, Cali, Colombia
ICESI University, Cali, Colombia
Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia
Search for more papers by this authorDiana Acosta
Department of Radiology, Fundación Valle de Lili, Cali, Colombia
Search for more papers by this authorVeronica Botero
ICESI University, Cali, Colombia
Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia
Department of Pediatrics, Fundación Valle de Lili, Cali, Colombia
Search for more papers by this authorLaura 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
Search for more papers by this authorJorge 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
Search for more papers by this authorGabriel 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
Search for more papers by this authorLuis 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
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorSara 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
Search for more papers by this authorLaura Ospina
Department of Radiology, Fundación Valle de Lili, Cali, Colombia
ICESI University, Cali, Colombia
Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia
Search for more papers by this authorDiana Acosta
Department of Radiology, Fundación Valle de Lili, Cali, Colombia
Search for more papers by this authorVeronica Botero
ICESI University, Cali, Colombia
Centro de Investigaciones Clínicas, Fundación Valle de Lili, Cali, Colombia
Department of Pediatrics, Fundación Valle de Lili, Cali, Colombia
Search for more papers by this authorLaura 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
Search for more papers by this authorJorge 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
Search for more papers by this authorGabriel 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
Search for more papers by this authorLuis 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
Search for more papers by this authorAbstract
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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