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Risk factors of choledocholithiasis formation after liver transplantation 被引量:3

Risk factors of choledocholithiasis formation after liver transplantation
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摘要 Systematic study of risk factors for biliary stone post-liver transplantation is rarely performed. To investigate the risk factor of choledocholithiasis formation after liver transplantation, we c onducted a case-control study. Fourteen patients were selected into a study group. The stones of the bile duct of the patients were confirmed and treated successfully by endoscopic retrograde cholangiopancreatography. For univariate analysis, we selected carefully some potential risk factors such as cold ischemia time, warm ischemia time, and biliary stricture. The results revealed that cold ischemia time and biliary stenosis were significant predictors. But multivariate analysis revealed that only biliary stenosis was a significant risk factor. In conclusion, biliary stenosis is a risk factor of bile duct stones formation after liver transplantation. Endoscopic retrograde cholangiopancreatography is effective and safe in the diagnosis or treatment of bile duct stones after liver transplantation. Systematic study of risk factors for biliary stone post-liver transplantation is rarely performed. To investigate the risk factor of choledocholithiasis formation after liver transplantation, we c onducted a case-control study. Fourteen patients were selected into a study group. The stones of the bile duct of the patients were confirmed and treated successfully by endoscopic retrograde cholangiopancreatography. For univariate analysis, we selected carefully some potential risk factors such as cold ischemia time, warm ischemia time, and biliary stricture. The results revealed that cold ischemia time and biliary stenosis were significant predictors. But multivariate analysis revealed that only biliary stenosis was a significant risk factor. In conclusion, biliary stenosis is a risk factor of bile duct stones formation after liver transplantation. Endoscopic retrograde cholangiopancreatography is effective and safe in the diagnosis or treatment of bile duct stones after liver transplantation.
出处 《Hepatobiliary & Pancreatic Diseases International》 SCIE CAS 2013年第2期215-217,共3页 国际肝胆胰疾病杂志(英文版)
基金 supported by grants from the Team Program of Science and Technology Bureau of Zhejiang Province(2009R50038) the Health Bureau of Zhejiang Province Foundation (B1652)
关键词 liver transplantation endoscopic retrograde cholangiopancreatography CHOLEDOCHOLITHIASIS biliary tract diseases common bile duct stone GALLSTONES liver transplantation endoscopic retrograde cholangiopancreatography choledocholithiasis biliary tract diseases common bile duct stone gallstones
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参考文献4

  • 1Maheshwari A,Maley W,Li Z,et al.Biliary complications and outcomes ofliver transplantation from donors after cardiac death[].Liver Transplantation.2007
  • 2Smelt AH.Triglycerides and gallstone formation[].Clinica Chimica Acta.2010
  • 3Spier BJ,Pfau PR,Lorenze KR,et al.Riskfactors and out-comes in post-liver transplantation bile duct stones and casts:A case-control study[].Liver Transplantation.2008
  • 4Cillo U,Burra P,Norberto L,D’’Amico D.Bile duct stones and casts after liver transplantation: Different entities but similar prevention strategy?[].Liver Transplantation.2008

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