Digital Cholangioscopy in Intrahepatic Cholelithiasis after Liver Transplantation: Clinical case
https://doi.org/10.24060/2076-3093-2025-15-4-376-383
Abstract
Introduction. Liver transplantation represents the definitive treatment for patients with end-stage liver disease. In liver transplant recipients, strictures of the biliary-digestive anastomosis and cholelithiasis of various localizations may occur. However, routine endoscopic procedures may be ineffective in some patients with complex forms of cholelithiasis and biliary strictures. In such situations, the SpyGlass DS™ direct digital cholangioscopy method is promising. Materials and methods. Clinical case: a 66-year-old patient in the late postoperative period after orthotopic related liver transplantation was diagnosed with a stricture of the reconstructive hepaticojejunostomy on the Roux-en-Y loop and intrahepatic cholelithiasis. The performed hybrid intervention includes: balloon dilation of the stricture and intrahepatic lithotripsy, lithoextraction using SpyGlass DS™ cholangioscopy, as well as percutaneous transhepatic drainage of the biliary tract under radiographic control. Results and discussion. Direct cholangioscopy ensured the safe elimination of hepatolithiasis and hepaticojejunostomy stricture in a patient after liver transplantation. External drainage with the possibility of delayed cholangiography was used to monitor the function of bile secretion with gradual replacement of drains. Conclusion. Direct digital cholangioscopy represents an important tool for the diagnosis and treatment of biliary complications in liver transplant recipients.
About the Authors
M. A. Nartailakov
Bashkir State Medical University
Russian Federation
Russian Federation
Mazhit A. Nartailakov — Dr. Sci. (Med.), Prof., Department of General Surgery, Transplantology and X-ray Diagnostics
Ufa
F. R. Nagaev
Bashkir State Medical University ; Clinic of Bashkir State Medical University
Russian Federation
Russian Federation
Farit R. Nagaev — Surgery Unit, Department of General Surgery, Transplantology and X-ray Diagnostics
Ufa
M. R. Bakeev
Bashkir State Medical University ; Clinic of Bashkir State Medical University
Russian Federation
Russian Federation
Marat R. Bakeev — Resident, Department of Surgical Diseases, Faculty of Medicine, Surgery Unit
Ufa
D. M. Minigalin
Bashkir State Medical University ; Clinic of Bashkir State Medical University
Russian Federation
Russian Federation
Daniil M. Minigalin — Cand. Sci. (Med.), Department of Surgical Diseases, Faculty of Medicine, Surgery Unit
Ufa
A. G. Safargalina
Bashkir State Medical University ; Clinic of Bashkir State Medical University
Russian Federation
Russian Federation
Aygul G. Safargalina — Department of Surgical Diseases, Faculty of Medicine, Surgery Unit
Ufa
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Review
For citations:
Nartailakov M.A., Nagaev F.R., Bakeev M.R., Minigalin D.M., Safargalina A.G. Digital Cholangioscopy in Intrahepatic Cholelithiasis after Liver Transplantation: Clinical case. Creative surgery and oncology. 2025;15(4):376-383. (In Russ.) https://doi.org/10.24060/2076-3093-2025-15-4-376-383
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