Open access

Effectiveness and Safety of Endoscopic Retrograde Cholangiopancreatography for Post‐Transplant Biliary Strictures in Children: Experience From Two Centers in Southern Iran

I. Shahramian M. Imanieh M. Haghighat S. Dehghani Naser Honar M. Ataollahi S. Malekhosseini G. Sivandzadeh F. Ejtehadi R. Niknam K. Kazemi Seyed Mohammad Ali Hashemi

Oct 2026 · Pediatric Transplantation · Vol 30 · 0 citations · 21 references

Medicine

TL;DR

ERCP is a safe and effective initial treatment for post-transplant biliary strictures in children, and complications are generally minor and manageable, supporting its role as a minimally invasive therapeutic option in pediatric liver transplant centers.

Abstract

Biliary strictures are among the most frequent complications following pediatric liver transplantation and can compromise graft function if not promptly managed. Endoscopic retrograde cholangiopancreatography (ERCP) is increasingly recognized as a safe, minimally invasive first‐line therapy, though pediatric data remain limited.

DOI PubMed Semantic Scholar

Read PDF

Similar papers

Open access Sep 2026

Exploring the Role of Percutaneous Transhepatic Biliary Drainage in the Interim Management of Paediatric Choledochal Cysts with Cholangitis: A Pilot Study.

BACKGROUND Choledochal cysts are congenital anomalies of the bile ducts that can lead to significant complications, such as cholangitis, liver fibrosis, and biliary obstruction. This study aims to evaluate the effectiveness and safety of percutaneous transhepatic biliary drainage (PTBD) in managing choledochal cysts wi...

Rashi Rashi, Amit Kumar, A. Sinha et al. · African Journal of Paediatri... · 0 citations

Open access Sep 2026

Does Stricture Location Predict ERCP Success in Non-Anastomotic Biliary Strictures After Living Donor Liver Transplantation? A Buis-Based Analysis

Non-anastomotic biliary strictures (NAS) represent one of the most challenging complications after living donor liver transplantation (LDLT) and are associated with heterogeneous outcomes following endoscopic retrograde cholangiopancreatography (ERCP). While ERCP is widely accepted as first-line therapy, the impact of...

Berk Baş, Halil Şahin, O. Kucukdemırcı · Uludağ Üniversitesi Tıp Fakü... · 0 citations

Review Sep 2026

Endoscopic Management of Biliary Strictures After Liver Transplantation: Current Evidence and Emerging Approaches.

Liver transplantation is a definitive treatment for end-stage liver disease and can improve quality of life and long-term prognosis. However, postoperative biliary complications remain an important limitation to transplant outcomes, and biliary stricture is among the most prevalent. Patients may present with jaundice,...

Zi-Han Wang, Xin Ye, Xi-Lei Peng et al. · Journal of Visualized Experi... · 0 citations

Review Open access Sep 2026

A Common Language for Post-Transplant Anastomotic Biliary Strictures: Standardized Endoscopic Outcome Definitions and a Failure-Mode Roadmap

Endoscopic therapy is central to graft-preserving management of post-transplant AS; adopting harmonized definitions should make outcomes comparable and rescue algorithms evidence-based.

D. Balducci, M. Montori, M. Marzioni et al. · Medicina · 0 citations

Sep 2026

Should We Be Aiming For A "Stent-first Strategy" in the Management of Malignant Biliary Obstruction? A Retrospective Single-Center Analysis.

BackgroundPercutaneous transhepatic cholangiography (PTC) is essential when endoscopic retrograde cholangiopancreatography (ERCP) fails or is contraindicated. Despite emerging evidence favoring primary stenting, data directly comparing it with the traditional two-staged drainage approach remain scarce.PurposeTo evaluat...

R. Veerni, Sana Sheykhzadeh, Alexander Valentinov Jordanov et al. · Acta Radiologica · 0 citations

Open access Oct 2026

“Endoscopic ultrasound-guided choledochoduodenostomy versus endoscopic retrograde cholangiopancreatography for primary biliary decompression in distal malignant biliary obstruction: a randomized comparative study”

EUS-BD showed similar results regarding technical and clinical success, procedure time, overall adverse events, and reinterventions rates as a method of primary biliary decompression in cases of unresectable distal malignant biliary obstruction compared to ERCP-BD.

A. Gaheen, M. Attwa, Hazem Hakim et al. · Egyptian Liver Journal · 0 citations