Morphological Characteristics of Biliary Strictures After Liver Transplantation Visualized Using SpyGlass™ Cholangioscopy

Overview

Journal Case Reports Hepatol

Publisher Wiley

Specialty Gastroenterology

Date 2020 Aug 25

PMID 32832173

Citations 2

Authors

Yathip M Chokpapone

Anne R Murray

Ashwini P Mehta

Vichin C Puri

Alejandro Mejia

Parvez Mantry

Affiliations

Soon will be listed here.

Abstract

Biliary complications following liver transplant are common. Endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) are the main techniques used to diagnose and treat biliary complications; however, these techniques have limits to the depth of visualization. In this report, we present five cases of orthotopic liver transplant patients with biliary complications that underwent ERCP- or MRCP-guided cholangioscopy with the SpyGlass™ DS Direct Visualization System (SDDVS). The SDDVS allowed for the visualization of the morphological characteristics of biliary strictures, and images collected using the SDDVS allowed for four of the cases to be treated endoscopically. Our findings suggest that cholangioscopy with the SDDVS is a promising method to guide the endoscopic treatment of biliary complications after liver transplantation.

Citing Articles

Evaluating the yield of digital single operator cholangioscopy in posttransplant biliary strictures after unsuccessful guidewire placement with ERCP.

Ng J, Chandran S, Be K, Zorron Cheng Tao Pu L, Choi K, Saxena P JGH Open. 2024; 8(10):e13112.

PMID: 39386257 PMC: 11461900. DOI: 10.1002/jgh3.13112.

Choledochoscopy: An update.

Lee T, Teng T, Shelat V World J Gastrointest Endosc. 2022; 13(12):571-592.

PMID: 35070020 PMC: 8716986. DOI: 10.4253/wjge.v13.i12.571.

References

Hall J, Pappas T . Current management of biliary strictures. J Gastrointest Surg. 2004; 8(8):1098-110. DOI: 10.1016/j.gassur.2004.04.011. View

de Moura E, Franzini T, Moura R, Carneiro F, de Almeida Artifon E, Sakai P . Cholangioscopy in bile duct disease: a case series. Arq Gastroenterol. 2014; 51(3):250-4. DOI: 10.1590/s0004-28032014000300015. View

Husing-Kabar A, Heinzow H, Schmidt H, Stenger C, Gerth H, Pohlen M . Single-operator cholangioscopy for biliary complications in liver transplant recipients. World J Gastroenterol. 2017; 23(22):4064-4071. PMC: 5473125. DOI: 10.3748/wjg.v23.i22.4064. View

Franzini T, Moura R, Rodela G, Andraus W, Herman P, DAlbuquerque L . A novel approach in benign biliary stricture - balloon dilation combined with cholangioscopy-guided steroid injection. Endoscopy. 2015; 47 Suppl 1:E571-2. DOI: 10.1055/s-0034-1393370. View

Woo Y, Lee J, Noh D, Park J, Lee K, Lee K . SpyGlass cholangioscopy-assisted guidewire placement for post-LDLT biliary strictures: a case series. Surg Endosc. 2015; 30(9):3897-903. DOI: 10.1007/s00464-015-4695-7. View

Navaneethan U, Venkatesh P, Al Mohajer M, Gelrud A . Successful diagnosis and management of biliary cast syndrome in a liver transplant patient using single operator cholangioscopy. JOP. 2011; 12(5):461-3. View

Crismale J, Ahmad J . Endoscopic Management of Biliary Issues in the Liver Transplant Patient. Gastrointest Endosc Clin N Am. 2019; 29(2):237-256. DOI: 10.1016/j.giec.2018.11.003. View

Sharma S, Gurakar A, Jabbour N . Biliary strictures following liver transplantation: past, present and preventive strategies. Liver Transpl. 2008; 14(6):759-69. DOI: 10.1002/lt.21509. View

Williams E, Draganov P . Endoscopic management of biliary strictures after liver transplantation. World J Gastroenterol. 2009; 15(30):3725-33. PMC: 2726449. DOI: 10.3748/wjg.15.3725. View

10.

Arain M, Attam R, Freeman M . Advances in endoscopic management of biliary tract complications after liver transplantation. Liver Transpl. 2013; 19(5):482-98. DOI: 10.1002/lt.23624. View

11.

Wright H, Sharma S, Gurakar A, Sebastian A, Kohli V, Jabbour N . Management of biliary stricture guided by the Spyglass Direct Visualization System in a liver transplant recipient: an innovative approach. Gastrointest Endosc. 2008; 67(7):1201-3. DOI: 10.1016/j.gie.2007.10.055. View

12.

Balderramo D, Sendino O, Miquel R, Rodriguez de Miguel C, Bordas J, Martinez-Palli G . Prospective evaluation of single-operator peroral cholangioscopy in liver transplant recipients requiring an evaluation of the biliary tract. Liver Transpl. 2013; 19(2):199-206. DOI: 10.1002/lt.23585. View

13.

Draganov P . The SpyGlass® Direct Visualization System for Cholangioscopy. Gastroenterol Hepatol (N Y). 2011; 4(7):469-70. PMC: 3096127. View

14.

Pascher A, Neuhaus P . Bile duct complications after liver transplantation. Transpl Int. 2005; 18(6):627-42. DOI: 10.1111/j.1432-2277.2005.00123.x. View

15.

Yan S, Tejaswi S . Clinical impact of digital cholangioscopy in management of indeterminate biliary strictures and complex biliary stones: a single-center study. Ther Adv Gastrointest Endosc. 2019; 12:2631774519853160. PMC: 6563398. DOI: 10.1177/2631774519853160. View

16.

Ryu C, Lee S . Biliary strictures after liver transplantation. Gut Liver. 2011; 5(2):133-42. PMC: 3140656. DOI: 10.5009/gnl.2011.5.2.133. View

17.

Manta R, Frazzoni M, Conigliaro R, Maccio L, Melotti G, Dabizzi E . SpyGlass single-operator peroral cholangioscopy in the evaluation of indeterminate biliary lesions: a single-center, prospective, cohort study. Surg Endosc. 2012; 27(5):1569-72. DOI: 10.1007/s00464-012-2628-2. View

18.

Gurakar A, Wright H, Camci C, Jaboour N . The application of SpyScope® technology in evaluation of pre and post liver transplant biliary problems. Turk J Gastroenterol. 2011; 21(4):428-32. DOI: 10.4318/tjg.2010.0131. View

19.

Hulagu S, Sirin G, Duman A, Yilmaz H . Use of SpyGlass for peroral cholangioscopy in the diagnosis and treatment of hepatobiliary diseases in over five years follow-up: A single centre experience. Turk J Gastroenterol. 2019; 30(12):1044-1054. PMC: 6924596. DOI: 10.5152/tjg.2019.19199. View

20.

Karagyozov P, Boeva I, Tishkov I . Role of digital single-operator cholangioscopy in the diagnosis and treatment of biliary disorders. World J Gastrointest Endosc. 2019; 11(1):31-40. PMC: 6354115. DOI: 10.4253/wjge.v11.i1.31. View