Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2023; 11(34): 8235-8241
Published online Dec 6, 2023. doi: 10.12998/wjcc.v11.i34.8235
Management of post-liver transplantation biliary stricture inaccessible by endoscopic retrograde cholangiopancreatography: A case report
Yohan Lee, Chang Hwan Park, Eunae Cho, Ki-Hyun Kim
Yohan Lee, Chang Hwan Park, Eunae Cho, Ki-Hyun Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju 61469, South Korea
Author contributions: Lee Y and Park CH wrote the manuscript; Park CH designed the research study; Lee Y, Park CH, Cho E, and Kim KH performed the research.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang Hwan Park, MD, PhD, Professor, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chonnam National University Hospital, No. 42 Jebong-ro Donggu, Gwangju 61469, South Korea. gi00042@cnuh.com
Received: October 17, 2023
Peer-review started: October 17, 2023
First decision: November 1, 2023
Revised: November 15, 2023
Accepted: November 28, 2023
Article in press: November 28, 2023
Published online: December 6, 2023
Core Tip

Core Tip: Post-liver transplantation biliary stricture is complex and involves many variables. There is no established method for its evaluation and treatment, and various approaches are needed depending on patient factors. While a fully covered self-expandable metal stent shows good effectiveness, it is premised on endoscopic access. This case report presents a new solution through percutaneous stent insertion and endoscopic removal in cases where endoscopic retrograde cholangiopancreatography is not possible.