Kim YJ, Lee KT, Jo YC, Lee KH, Lee JK, Joh JW, Kwon CHD. Hepatobiliary scintigraphy for detecting biliary strictures after living donor liver transplantation. World J Gastroenterol 2011; 17(21): 2626-2631 [PMID: 21677831 DOI: 10.3748/wjg.v17.i21.2626]
Corresponding Author of This Article
Kyu Taek Lee, Professor, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, South Korea. happymap@skku.edu
Article-Type of This Article
Original Article
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World J Gastroenterol. Jun 7, 2011; 17(21): 2626-2631 Published online Jun 7, 2011. doi: 10.3748/wjg.v17.i21.2626
Table 1 Baseline clinical characteristics of the patients
Variable
Result
Age (yr), mean ± SD
51.5 ± 8.25
Male/female, n (%)
82/22 (79/21)
Indication for liver transplantation, n (%)
Hepatic failure
52 (50)
HBV infection
33 (31.7)
HCV infection
5 (4.8)
Others
14 (13.5)
Malignancy
52 (50)
HCC, HBV-related
41 (39.4)
HCC, HCV-related
7 (6.7)
Others
4 (3.9)
Interval between LDLT and HIDA scan, d, median (range)
294.5 (25-1490)
Table 2 Baseline laboratory characteristics of the subjects
Laboratory test
Result
Bilirubin, mg/dL, median (range)
3.7 (0.6-44)
AST, U/L, median (range)
85 (15-336)
ALT, U/L, median (range)
132 (6-798)
ALP, U/L, median (range)
271 (65-988)
GGT, U/L, median (range)
297 (28-1491)
Change of bile duct size, n (%)
Present
61 (58.7)
None
43 (41.3)
Stricture on the cholangiogram, n (%)
Present
89 (85.6)
None
15 (14.4)
Table 3 Results of hepatic iminodiacetic acid scans and cholangiograms
Normal
Parenchymal dysfunction
Biliary obstruction
Bileleakage
Total
8 (7.7)
41 (39.4)
54 (51.9)
1 (1)
104 (100)
Stricture on cholangiogram
6
32
50
1
89
No stricture on cholangiogram
2
9
4
0
15
Table 4 Diagnostic accuracy of the change in bile duct size in detecting post-living donor liver transplantation biliary strictures
Stricture on cholangiogram (+)
Stricture on cholangiogram (-)
Total
Change in bile duct size (+)
58
3
61
Change in bile duct size (-)
31
12
43
Total
89
15
104
Citation: Kim YJ, Lee KT, Jo YC, Lee KH, Lee JK, Joh JW, Kwon CHD. Hepatobiliary scintigraphy for detecting biliary strictures after living donor liver transplantation. World J Gastroenterol 2011; 17(21): 2626-2631