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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2016

01-09-2016

SpyGlass cholangioscopy-assisted guidewire placement for post-LDLT biliary strictures: a case series

Authors: Young Sik Woo, Jong Kyun Lee, Dong Hyo Noh, Joo Kyung Park, Kwang Hyuck Lee, Kyu Taek Lee

Published in: Surgical Endoscopy | Issue 9/2016

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Abstract

Background and Aims

Anastomotic biliary strictures are common in patients that undergo living donor liver transplantation. Although endoscopic management has the advantage over percutaneous approaches, the initial success rate for the endoscopic management is unsatisfactory. The SpyGlass system can be a useful device in patients with a severe anastomotic stricture.

Methods

The SpyGlass cholangioscopy-assisted guidewire placement was performed in 15 patients with a difficult guidewire placement in which the guidewire could not transverse the stricture with conventional methods for 10 min or more.

Results

The visualization rate of the stricture orifice was 93.3 % (14 of 15 patients). The total success rate of the SpyGlass cholangioscopy-assisted guidewire placement was 60 % (9 of 15 patients). No procedure-related complications occurred during or after the SpyGlass cholangioscopy-assisted guidewire placement.

Conclusions

This series demonstrated that the SpyGlass cholangioscopy-assisted guidewire placement is a useful method when the guidewire passage of the strictures site is impossible by conventional methods.
Appendix
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Metadata
Title
SpyGlass cholangioscopy-assisted guidewire placement for post-LDLT biliary strictures: a case series
Authors
Young Sik Woo
Jong Kyun Lee
Dong Hyo Noh
Joo Kyung Park
Kwang Hyuck Lee
Kyu Taek Lee
Publication date
01-09-2016
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 9/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-015-4695-7

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