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

Yathip M Chokpapone; Anne R Murray; Ashwini P Mehta; Vichin C Puri; Alejandro Mejia; Parvez Mantry

doi:10.1155/2020/8850000

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

Case Reports Hepatol. 2020 Aug 3:2020:8850000. doi: 10.1155/2020/8850000. eCollection 2020.

Authors

Yathip M Chokpapone¹, Anne R Murray², Ashwini P Mehta³, Vichin C Puri³, Alejandro Mejia³, Parvez Mantry³

Affiliations

¹ The University of Texas at Dallas, Dallas, 800 W Campbell Rd., Richardson, TX 75080, USA.
² Clinical Research Institute, Methodist Health System, 1411 N. Beckley Ave, Pavilion III, Suite 168, Dallas, TX 75203, USA.
³ The Liver Institute, Methodist Dallas Medical Center, 1411 N. Beckley Ave, Pavilion III, Suite 268, Dallas, TX 75203, USA.

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.

Publication types

Case Reports