Gastroenterologie
a hepatologie

Biodegradable stents in the treatment of biliary strictures after liver transplantation – first experience

Alžběta Hujová¹, Jana Jarošová¹, Peter Mačinga ^{Orcid.org  1}, Julius Špičák ^{Orcid.org  1}, Jiří Froněk ^{Orcid.org  2}, Theodor Adla³, Pavel Taimr ^{Orcid.org  1}, Tomáš Hucl ^{Orcid.org  1}

+ Affiliation
¹ Klinika hepatogastroenterologie, Transplantcentrum, IKEM, Praha
² Klinika transplantační chirurgie, Transplantcentrum, IKEM, Praha
³ Oddělení radiologie, Institut klinické a experimentální medicíny, Praha

Summary

Biliary anastomotic strictures are one of the most common biliary complications in patients after liver transplantation. Biliary complications are associated with higher mortality, morbidity, risk of graft failure and usually require repeated endoscopic interventions with regular stent replacement for treatment. Biodegradable stents are new types of stents made of biodegradable polymers, which may have the main advantage of reducing the number of endoscopic interventions and associated complications. The aim of our article was to describe the cases of two patients after liver transplantation with early biliary anastomotic strictures, which were resolved by endoscopic placement of bio degradable stents. In both cases, endoscopic stent placement was technically feasible and there were no periprocedural or postprocedural complications. The clinical course and follow-up imaging at 8 months showed regression of the strictures in both patients.

Keywords

liver transplantation, benign biliary stenoses, biodegradable stent

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