간 이식 후 합병된 담관 원주 증후군에 의한 폐쇄성 황달Obstructive Jaundice due to Biliary Cast Syndrome Followedby Orthotopic Liver Transplantation
- Other Titles
- Obstructive Jaundice due to Biliary Cast Syndrome Followedby Orthotopic Liver Transplantation
- Authors
- 백상현; 최호순; 양선영; 전대원; 한성희; 이항락; 이오영; 윤병철; 함준수; 이민호; 이동후; 기춘석
- Issue Date
- Aug-2006
- Publisher
- 대한소화기학회
- Keywords
- Biliary cast; Liver transplantation; Biliary cast; Liver transplantation
- Citation
- 대한소화기학회지, v.48, no.2, pp.119 - 123
- Indexed
- SCOPUS
KCI
- Journal Title
- 대한소화기학회지
- Volume
- 48
- Number
- 2
- Start Page
- 119
- End Page
- 123
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/181127
- ISSN
- 1598-9992
- Abstract
- Biliary complication occurs in 6-34% of all liver transplant patients. Although bile leaks and strictures are relatively common, other biliary complications such as T-tube leak, choledocholithiasis, and biliary cast syndrome can also be observed. The biliary cast syndrome describes the presence of casts causing obstruction with its resultant sequelae of biliary infection, hepatocyte damage secondary to bile stasis and ductal damage, all contributing to cholangiopathy. Because the exact timing of cast formation after orthotopic liver transplantation is not consistent, it is difficult to define the true incidence of biliary cast syndrome without long-term follow-up data. Proposed etiological mechanisms include acute cellular rejection, prolongation of cold ischemic time, infection, biliary drainage tubes, and biliary obstruction. The diagnosis of biliary cast syndrome is usually confirmed by endoscopic retrograde cholangiopancreatography. There have been few published articles about biliary casts in Korea. Herein, we report a case of biliary cast syndrome followed by orthotopic liver transplantation.
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