Therapeutic challenges in the multidisciplinary approach of liver transplant-associated biliary tract complications in Roux-en-Y gastric bypass patients
| Journal | Volume 89 - 2026 |
| Issue | Fasc.2 - Case series |
| Author(s) | J. L. Nuñez-Pizarro 1 2, G. Dahlqvist 1, L. Monino 1, P. Deprez 1, P. Goffette 3, E. Bonaccorsi Riani 4, L. Coubeau 4, O. Ciccarelli 4, T. Moreels 1 |
| Full article |
 PAGES 407-411 VIEW FREE PDF |
| DOI | 10.51821/89.2.15150 |
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Affiliations: (1) Department of Gastroenterology & Hepatology, Cliniques universitaires Saint-Luc, Brussels, Belgium
(2) Department of Gastroenterology, Hospital Clinic de Barcelona, Barcelona, Spain (3) Department of Interventional Radiology, Cliniques universitaires Saint-Luc, Brussels, Belgium (4) Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Brussels, Belgium |
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Introduction: This case series addresses the available non-surgical approaches for the management of biliary tract complications in liver transplant (LT) patients with a history of Roux-en-Y gastric bypass (RYGB). Methods: Descriptive single center case series of endoscopic and radiological treatments of biliary tract complications in LT recipients with a history of RYGB. Methods: Descriptive single center case series of endoscopic and radiological treatments of biliary tract complications in LT recipients with a history of RYGB. Results: Balloon enteroscopy-assisted-ERCP (BE-ERCP), endoscopic ultrasound (EUS)-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE), percutaneous transhepatic biliary drainage (PTBD), or a combination of these procedures are used according to the clinical indication or the surgical biliary reconstruction (duct-to-duct anastomosis vs hepaticojejunostomy) in conjunction with RYGB. Case 1 was treated with PTBD, followed by BE-ERCP; case 2 with BE-ERCP, followed by EDGE; case 3 with PTBD, followed by EDGE; and case 4 with BE-ERCP. Conclusion: Both BE-ERCP, EDGE and PTBD in different combinations are reliable non-surgical therapeutic approaches for treating LT-associated biliary tract complications in RYGB patients. Keywords: liver transplantation, Roux-en-Y gastric bypass, biliary tract complications, anastomotic biliary strictures, endoscopic treatment.. |
| The authors declare that they have no conflict of interest. |
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© Acta Gastro-Enterologica Belgica. PMID 42417643 |