DIAGNOSTIC VALUE OF ULTRASOUND IN DETECTION OF BILIARY TRACT COMPLICATIONS AFTER LIVER TRANSPLANTATION

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POTTHOFF ANDREJ; HAHN ANREAS; KUBICKA STEFAN; SCHNEIDER ANDREA; WEDEMEYER JOCHEN; KLEMPNAUER JUERGEN; MANNS MICHAEL; GEBEL MICHAEL; BOOZARI BITA

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Journal: Hepatitis Monthly Year:2013 | Volume:13 | Issue:1 Page(s): 0-0

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Title

DIAGNOSTIC VALUE OF ULTRASOUND IN DETECTION OF BILIARY TRACT COMPLICATIONS AFTER LIVER TRANSPLANTATION

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COMPLICATIONS LIVER TRANSPLANTATION CHOLANGIOGRAPHY PUBLISHED

Abstract

Background: Biliary complications are significant source of morbidity after liver transplantation (LT). Cholangiography is the gold standard for diagnosis and specification of biliary complications.Objectives: Detailed analyses of ultrasound (US) as a safe imaging method in this regard are still lacking. Therefore we analyzed systematically the diagnostic value of US in these patients.Patients and Methods: Retrospectively, 128 liver graft recipients and their clinical data were analyzed. All patients had a standardized US examination. The findings of US were compared to cholangiographic results in 42 patients. Following statistical analyses were performed: descriptive statistics, sensitivity, specificity, positive and negative predictive values (PPV, NPV).Results: 42 patients had 54 different biliary complications (Anastomotic stenosis (AS) n=33, ischemic type biliary lesions (ITBL) n=18 and leakage n=3). US detected n=22.42 (52%) patients with biliary complications. The sensitivity, specificity, PPV and NPV of US were: 61%, 100%, 100%, 79% (95CI, 36-86%) for ITBL and 24%, 100, 100%, 31% (95CI, 9-46 %) for AS, respectively Conclusions: US examination had no false positive rate. Therefore, it may be helpful as a first screening modality. But for the direct diagnosis of the biliary complication US is not sensitive enough.

Cites

DUCT-TO-DUCT BILIARY ANASTOMOSIS YIELDS SIMILAR OUTCOMES TO ROUX-EN-Y HEPATICOJEJUNOSTOMY IN LIVER TRANSPLANTATION FOR PRIMARY SCLEROSING CHOLANGITIS

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APA: Copy

POTTHOFF, ANDREJ, HAHN, ANREAS, KUBICKA, STEFAN, SCHNEIDER, ANDREA, WEDEMEYER, JOCHEN, KLEMPNAUER, JUERGEN, MANNS, MICHAEL, GEBEL, MICHAEL, & BOOZARI, BITA. (2013). DIAGNOSTIC VALUE OF ULTRASOUND IN DETECTION OF BILIARY TRACT COMPLICATIONS AFTER LIVER TRANSPLANTATION. HEPATITIS MONTHLY, 13(1), 0-0. SID. https://sid.ir/paper/306859/en

Vancouver: Copy

POTTHOFF ANDREJ, HAHN ANREAS, KUBICKA STEFAN, SCHNEIDER ANDREA, WEDEMEYER JOCHEN, KLEMPNAUER JUERGEN, MANNS MICHAEL, GEBEL MICHAEL, BOOZARI BITA. DIAGNOSTIC VALUE OF ULTRASOUND IN DETECTION OF BILIARY TRACT COMPLICATIONS AFTER LIVER TRANSPLANTATION. HEPATITIS MONTHLY[Internet]. 2013;13(1):0-0. Available from: https://sid.ir/paper/306859/en

IEEE: Copy

ANDREJ POTTHOFF, ANREAS HAHN, STEFAN KUBICKA, ANDREA SCHNEIDER, JOCHEN WEDEMEYER, JUERGEN KLEMPNAUER, MICHAEL MANNS, MICHAEL GEBEL, and BITA BOOZARI, “DIAGNOSTIC VALUE OF ULTRASOUND IN DETECTION OF BILIARY TRACT COMPLICATIONS AFTER LIVER TRANSPLANTATION,” HEPATITIS MONTHLY, vol. 13, no. 1, pp. 0–0, 2013, [Online]. Available: https://sid.ir/paper/306859/en

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