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e-Article

Long-term outcome of combined radiologic and surgical strategy for the management of biliary complications after pediatric liver transplantation
Document Type
article
Source
BMC Research Notes, Vol 17, Iss 1, Pp 1-7 (2024)
Subject
Biliary complications
Pediatric liver transplantation
Repeated radiologic procedures
Medicine
Biology (General)
QH301-705.5
Science (General)
Q1-390
Language
English
ISSN
1756-0500
21031924
Abstract
Abstract Objectives We aimed to analyze the risk factors for management failure of BC after pediatric liver transplantation (pLT) by retrospectively analyzing primary pLT performed between 1997 and 2018 (n = 620 patients). Results In all, 117/620 patients (19%) developed BC. The median (range) follow-up was 9 (1.4–21) years. Patient survival at 1, 5 and 10 years was 88.9%, 85.7%, 84.4% and liver graft survival was 82.4%, 77.4%, and 74.3% respectively. Graft not patient survival was impaired by BC (p = 0.01). Multivariate analysis identified the number of dilatation courses > 2 (p = 0.008), prolonged cold ischemia time (p = 0.004), anastomosed multiple biliary ducts (p = 0.019) and hepatic artery thrombosis (p = 0.01) as factors associated with impaired graft survival. The number of dilatation courses > 2 (p 2) radiologic dilatation courses are associated with impaired graft survival and management failure. Overall, graft but not patient survival was impaired by BC.