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DISCOURSE THE ENDOSCOPIC RESULTS OF POLE-ORTHOTOPIC LIVER TRANSPLANTATION CASES ESTABLISHED THROUGH THE REDUNDANT BILE DUCT

Muhammad Ali, Dr Zeenat Azam Hashmi, Dr Ali Husnain Hashmi

Aim: The key purpose of our research was to discourse endoscopic results of pole-Orthotopic liver transplantation (OLT) cases established through the “redundant bile duct”. Methods: Medicinal histories of cases that experienced OLT at Lahore General Hospital Lahore, Pakistan from March 2018 to November 2018, with hindsight examined. Cases having the supposed BTC experienced ERCP. Completely ERCP remained achieved via qualified biliary endoscopist. Redundant bile duct remained distinct as the looped, sigmoid-designed bile duct on cholangiogram by connected cholestatic liver biomarkers. Results: One thousand two hundred & ninety (1290) respondents’ data who established OLT from 1995 through 2017 remained reread. 226 cases experienced endoscopic retrograde cholangiopancreatography for supposed BTC. RBD remained described in every of early cholangiograms. 22 in total of one thousand two hundred and ninety (1.5%) remained recognized who got redundant bile duct. Here were 14 males & 10 females, mean age of 58.7 years. Key sign for endoscopic retrograde cholangiopancreatography remained cholestatic design of liver related biomarkers. Twenty in total of 23 cases experienced endoscopic healing also 3/23 needed instant medical interference. Conclusion: Though medical biliary rebuilding methods have enhanced; redundant bile duct signifies the pole- OLT problem. The current research study is infrequent though, endoscopic organization of redundant bile duct signifies the sensible early method. Key words: Terminated bile duct; Orthotropic liver relocation; biliary problems; Endoscopic reversing.

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