Endoscopic management of biliary complications after liver transplantation.
Arq Bras Cir Dig
; 25(4): 269-72, 2012.
Article
in En, Pt
| MEDLINE
| ID: mdl-23411927
ABSTRACT
BACKGROUND:
Liver transplantation is the only effective treatment for chronic liver diseases and terminal survival rate has increased in recent decades. However, biliary complications have high incidence and remain as the "Achilles heel" for liver transplantation.AIM:
To evaluate retrospectively endoscopic treatment outcomes of biliary complications in post-liver transplantations.METHODS:
The sample consisted of post-liver transplantation patients for endoscopic retrograde cholangiopancreatography due to suspected biliary complications.RESULTS:
Fifteen patients were included (10 male, mean age of 49.57 years) and 36 endoscopic retrograde cholangiopancreatographies were undertaken (2.4/patient). Biliary stricture was diagnosed in 13 patients and endoscopic treatment was successful in 56% (38,46% still in treatment). Biliary leaks were found in one patient and dysfunction of the hepatobilliary ampulla with choledocholithiasis was diagnosed in one patient, both cured by endoscopic treatment.CONCLUSIONS:
Post-liver transplantation biliary complications are relatively common and endoscopic treatment may result in satisfactory outcome. Stenosis was the more frequent complication in this series.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Biliary Tract Diseases
/
Cholangiopancreatography, Endoscopic Retrograde
/
Liver Transplantation
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
/
Pt
Journal:
Arq Bras Cir Dig
Year:
2012
Document type:
Article
Affiliation country:
Brazil