Nonoperative management of biliary leaks after orthotopic liver transplantation

摘要: Specific therapy should be instituted expeditiously once the diagnosis of a biliary leak has been made in patients who have undergone orthotopic liver transplantation. Controversy exists over whether to use nonoperative or operative management. The results 325 consecutive transplants 297 adult and pediatric recipients were reviewed. tract was reconstructed using choledochocholedochostomy anastomosis (254/325 78%) Roux-en-Y choledochojejunostomy (71/325 22%). incidence leaks 23% (74/325). Overall, only 3% (10/325) transplant required repair leak. Biliary occurring with anastomoses (9/71 13%) commonly (6/9 67%), whereas that occurred (65/254 26%) seldom (4/65 6%). All at anastomosis, either (17/254 7%) T-tube insertion site (45/254 18%). Our study confirms centers proficient endoscopic interventional radiologic support, resolution can achieved