Full Text
Full text is available in PDF
Background:
Biliary complications are significant source of morbidity after liver transplantation (LT). Cholangiography is the gold standard for diagnosis and specification of biliary complications.
Official Journal of Research Center for Gastroenterology and Liver Diseases
e-ISSN 1735-3408
p-ISSN 1735-143X
Diagnostic Value of Ultrasound in Detection of Biliary Tract Complications After Liver Transplantation
Authors
Andrej Potthoff1, Anreas Hahn2, Stefan Kubicka1, Andrea Schneider1, Jochen Wedemeyer3, Juergen Klempnauer4, Michael Manns1, Michael Gebel1, Bita Boozari1,*
1Department of Gastroenterology, Hannover Medical School, bita.boozari@med.uni-tuebingen.de, Germany
2Department of Biometrics, Hannover Medical School, Germany
3Department of Internal Medicine, Klinikum Robert Koch Gehrden, Germany
4Department of Visceral and Transplant Surgery, Hannover Medical School, Germany
*Corresponding Author: Department for Internal Medicine, Gastroenterology, Hepatology and Infectious Disease, Universittsklinikum Tbingen, Medizinische Klinik, Otfried-Mller-Str. 10, 72076 Tbingen, bita.boozari@med.uni-tuebingen.de, Germany. Tel: +49-70712983225. Fax: +49-7071295351. Email: bita.boozari@med.uni-tuebingen.de
Published online:Jan 20, 2013
Article type:Research Article
Received:Oct 27, 2011
Accepted:May 01, 2012
How to Cite:Potthoff A, Hahn A, Kubicka S, Schneider A, Wedemeyer J, et al. Diagnostic Value of Ultrasound in Detection of Biliary Tract Complications After Liver Transplantation. Hepat Mon. 2013;13(1):6003. doi: https://doi.org/10.5812/hepatmon.6003
Abstract
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.
Highlights
Copyright
© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Similar Articles
28
Feb
2014
Ultrasonographic Evaluation of Renal Transplantation Complications
Mehdi Shahryari,
Taraneh Faghihi Langroudi
Shahryari M, Faghihi Langroudi T. Ultrasonographic Evaluation of Renal Transplantation Complications. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e21419. doi: https://doi.org/10.5812/iranjradiol.21419
6
Sep
2021
Radiation-Free Transabdominal Ultrasound-Guided Endoscopic Biliary Stenting in Pregnant Women with Choledocholithiasis
Mohammed Mahmoud Abdo,
Mohammad Ahmad Al-Shatouri
Abdo MM, Al-Shatouri MA. Radiation-Free Transabdominal Ultrasound-Guided Endoscopic Biliary Stenting in Pregnant Women with Choledocholithiasis. I J Radiol. 2021;18(3):e114097. doi: https://doi.org/10.5812/iranjradiol.114097
30
Aug
2013
Percutaneous Liver Biopsies Guided with Ultrasonography: A Case Series
Emin Cakmakci,
Kosti Can Caliskan,
Omer Naci Tabakci,
Mehmet Tahtabasi,
Zeki Karpat
Cakmakci E, Caliskan KC, Tabakci ON, Tahtabasi M, Karpat Z. Percutaneous Liver Biopsies Guided with Ultrasonography: A Case Series. I J Radiol. 2013;10(3):182-184. doi: https://doi.org/10.5812/iranjradiol.13184
28
Feb
2014
Efficacy of Radiologic Percutaneous Interventional Treatments for Biliary Complications after Liver Complications after Liver Transplantation: Shiraz Experience
Alireza Rasekhi,
Zeinab Gholami
Rasekhi A, Gholami Z. Efficacy of Radiologic Percutaneous Interventional Treatments for Biliary Complications after Liver Complications after Liver Transplantation: Shiraz Experience. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e21437. doi: https://doi.org/10.5812/iranjradiol.21437
28
Feb
2014
Biliary Interventions
Hazhir Saberi
Saberi H. Biliary Interventions. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e21440. doi: https://doi.org/10.5812/iranjradiol.21440
More by these authors
Cited by
- Scopus by DOI: 28
Last Update: 1 week ago
- Scopus by Title: 28
Last Update: 1 week ago
- Scopus by Title (Ref): 28
Last Update: 1 week ago
- CrossRef: 31
Last Update: 4 minutes ago
- OpenAlex: 33
Last Update: 5 hours ago
- OpenCitations: 30
Last Update: 5 days ago
Comments
Number of Comments:0