Endoscopic treatment of biliary complications after liver transplantation: Analytic review

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Abstract

The data available shows that the rate of biliary complications in transplant recipients ranges between 8% and 35%, but this rate of complications is higher for living-related liver transplantation (LRLTx) than orthotopic liver transplantation (OLTx). Biliary complications may include: stricture, biliary leaks, stones or debris and Oddi dysfunction. The aim of this paper was to analyze the results of endoscopic treatments on biliary complications after liver transplantation. This article is a review of available published data on the results of endoscopic treatment of post transplant biliary complication. In patients with duct-to-duct anastomosis, the ERCP is safe and effective in the diagnosis and management of biliary complications and avoids in the majority of cases percutaneous transhepatic approach or surgical interventions; whether unsuccessful, the ERCP does not negatively affects the surgical intervention, so a trial of endoscopic therapy should be performed to delay or defer a post-transplantation surgical procedure.

Original languageEnglish
Pages (from-to)255-260
Number of pages6
JournalGazzetta Medica Italiana Archivio per le Scienze Mediche
Volume169
Issue number5
Publication statusPublished - Oct 2010

Keywords

  • Biliary tract disease
  • Endoscopy
  • Liver transplantation

ASJC Scopus subject areas

  • Medicine(all)

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