TY - JOUR
T1 - Endoscopic treatment of biliary complications after liver transplantation
T2 - Analytic review
AU - Tarantino, I.
AU - Barresi, L.
AU - Traina, M.
AU - Gruttadauria, S.
AU - Gridelli, B.
PY - 2010/10
Y1 - 2010/10
N2 - 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.
AB - 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.
KW - Biliary tract disease
KW - Endoscopy
KW - Liver transplantation
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M3 - Article
AN - SCOPUS:79952209590
VL - 169
SP - 255
EP - 260
JO - Gazzetta Medica Italiana Archivio per le Scienze Mediche
JF - Gazzetta Medica Italiana Archivio per le Scienze Mediche
SN - 0393-3660
IS - 5
ER -