Introduction: Our purpose was to evaluate the management of biliary anastomotic strictures with simultaneous multiple percutaneous plastic stents for liver transplants

Materials and Methods: Between 2007 and 2017, 22 patients with biliary anastomotic strictures with no previous intervention were included in this study. The patients were 14 females and 8 males, ages ranged from 8 to 62 years (mean age: 41). Percutaneous biliary drainage was performed then, 1 to 3 times, sequential dilation with conventional balloon was performed, then, two plastic stents were placed percutaneously through one tract (percutaneous tracts were between 8F to 14F). The size of the two plastic stents were 16F (n=3), 20F (n=15), 24F (n=3) and 28F (n=1).

Results: The median indwelling stent period was 6.7 months (2.5 months-13 months). No migration of the stents was observed. In two patients, plastic stents were removed endoscopically at 25 days, and 3 months because of cholangitis. In 20 patients, no cholangitis or obstruction were observed and stents removed endoscopically.

Conclusion: Sequential percutaneous insertion of two plastic biliary stents through one percutaneous access, affords effective treatment of the anastomotic strictures that occur after liver transplantation. This technique enables large profile internal stent placement through a single small percutaneous hole. This technique has a high success rate and decrease the number of interventions and also the cost of the procedure.

CITATION INFORMATION: Boyvat F., Harman A., Akdur A., Aytekin C., Kirnap M., Moray G., Haberal M. Sequential Percutaneous Insertion of Two Plastic Biliary Stents through One Percutaneous Access for Biliary Anastomotic Strictures after Liver Transplantation Am J Transplant. 2017;17 (suppl 3).

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