Endoscopic management of biliary complications after liver transplantation.

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  • Additional Information
    • Source:
      Publisher: Colégio Brasileiro de Cirurgia Digestiva Country of Publication: Brazil NLM ID: 9100283 Publication Model: Print Cited Medium: Internet ISSN: 2317-6326 (Electronic) Linking ISSN: 01026720 NLM ISO Abbreviation: Arq Bras Cir Dig Subsets: MEDLINE
    • Publication Information:
      Publication: São Paulo, Brasil : Colégio Brasileiro de Cirurgia Digestiva
      Original Publication: São Paulo, Brasil : Disciplina de Cirurgia do Aparelho Digestivo do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo,
    • Subject Terms:
      Cholangiopancreatography, Endoscopic Retrograde*; Biliary Tract Diseases/*etiology ; Biliary Tract Diseases/*surgery ; Liver Transplantation/*adverse effects; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies
    • 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.
    • Publication Date:
      Date Created: 20130216 Date Completed: 20130805 Latest Revision: 20191112
    • Publication Date:
      20231215
    • Accession Number:
      10.1590/s0102-67202012000400011
    • Accession Number:
      23411927