Biliary Anastomosis Complication, Liver Transplant Disorder
Conditions
Keywords
Biliary stricture, Cholangioscopy, Spyglass, Liver transplant
Brief summary
The purpose of this study is to describe SpyGlass choledochoscopy in patients with post orthotopic liver transplant (OLT) biliary strictures prior to endoscopic therapy and ductal changes after treatment stents.
Detailed description
A prospective observational clinical study to be conducted in Hospital Israelita Albert Einstein, a large open-access, private tertiary referral center. Consecutive eligible patients with suspected post OLT biliary complications referred to endoscopic retrograde cholangiopancreatography (ERCP) will be considered to SpyGlass as follows. In those patients with confirmed biliary stricture, SpyGlass direct choledochoscopy will be performed prior to endoscopic treatment with stents. After final stent removal, choledochoscopy will be repeated to evaluate biliary ductal mucosa.
Interventions
SpyGlass (direct visualization system) choledochoscopy procedure will be performed pre and post biliary complication treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients referred to endoscopic management for biliary post liver transplant complication without previous treatment
Exclusion criteria
* Patients referred to endoscopic management for biliary post liver transplant complication with any previous treatment. * Below 18 years of age * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Documentation of biliary ductal changes in post-liver transplant biliary complications. | 2 years | The study aim is to describe biliary ductal changes in post-liver transplant presenting biliary complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants with Adverse Events. | 2 years | Secondary outcomes include the description of adverse events |
Other
| Measure | Time frame | Description |
|---|---|---|
| Procedural success rate: | 1 year | defined as the proportion of SpyGlass procedures completed where the diagnostic or therapeutic objectives were achieved. |
Countries
Brazil