Annals of Hepato-Biliary-Pancreatic Surgery

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Table. 1.

Table. 1.

Demographics of the recipient who underwent Gd-EOB DTPB MRI after LT

n=43
Age (years) 51±12.9
Gender (male-female) 34:9
Bodyweight (kg) 65.2±10.6
Height (m) 166.5±6.64
BMI (kg/m2) 65.2±10.6
Diagnosis
HBV LC 19 (44.2%)
HCV LC 4 (9.3%)
Alcoholic LC 14 (35.6%)
Autoimmune LC 1 (2.3%)
Chronic rejection (retransplantatin) 2 (4.7%)
Etc 3 (6.9%)
Graft type
Right liver (living) 41 (95.3%)
Left liver (living) 1 (2.3%)
Whole liver (desceased) 1 (2.3%)
Type of bile duct anastomosis
Duct-to duct 35 (81.4%)
Hepatico-jejunostomy 8 (18.6%)
Date on Gd-EOB DTPA MRI [Postoperative day, median (range)] 36 (9-2662)
Causes of Gd-EOB DTPA MRI exam
Hyperbilirubinemia 8 (18.6%)
Drain color change 11 (25.6%)
Incidental Biloma on CT* 10 (23.3%)
ER visit abdominal pain 14 (32.5%)
Findings of MRI leakage protocol
No leakage 3 (6.9%)
Sitricture 4 (9.3%)
Anastomosis site leakage 31 (72.1%)
Cut surface leakage 2 (4.7%)
Hepatocyte dysfunction 3 (6.9%)
Intervention
No intervention 9 (20.9%)
ERCP 15 (34.8%)
PTBD 6 (13.9%)
PCD 13 (30.2%)
In-hospital diagnosis of biliary leakage 22 (51.2%)
Readmission and diagnosis 21 (48.8%)

*Every recipient underwent abdominal CT at postoperative 7 days

HBV LC, hepatitis-B related liver cirrhosis; HCV LC, hepatitis-C related liver cirrhosis; ERCP, endoscopic retrograde cholangiopancreatography; PTBD, percutaneous transhepatic biliary drainage

Ann Hepatobiliary Pancreat Surg 2021;25:39-45 https://doi.org/10.14701/ahbps.2021.25.1.39
© 2021 Ann Hepatobiliary Pancreat Surg