重视肝移植术后胆道狭窄的内镜治疗

Attaching importance to endoscopic therapy for biliary stricture after liver transplantation

  • 摘要: 目前,肝移植技术已成为临床治疗终末期肝胆疾病的重要手段。但术后常发生胆道狭窄,严重限制了肝移植的治疗效果。目前,内镜逆行胰胆管造影已是肝移植术后胆道狭窄的首选诊断与治疗手段,但具有操作复杂、技术难度大等缺点。近年来,国内外学者开展大量与肝移植术后胆道狭窄发病机制和内镜诊断与治疗相关的研究,在理论和技术均取得了较大进展。笔者就上述问题作详细阐述,以期为国内同行提供参考。

     

    Abstract: At present, liver transplantation has become an important therapy for patients with end-stage liver and gallbladder diseases. However, biliary stricture after liver transplantation occurs commonly and greatly, which hampers the clinical efficacy. Endoscopic retrograde cholangiopancreatography has become the first choice for diagnosis and treatment of biliary stricture after liver transplantation, though its operation is difficult and complicated. In recent years, a large number of studies on the pathogenesis and prevention of biliary stricture after liver transplantation have been investigated. Endoscopic diagnosis and treatment also have made great theoretical and technological advances.In this review the author aims to analyze the current literature and make a detailed discussion on the above issues, in order to providereference for domestic counterparts.

     

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