Biliary tract strictures after orthotopic liver transplantation: diagnosis and management.

摘要: Biliary tract complications in 105 patients who had undergone orthotopic liver transplantation were reviewed order to determine their incidence and localization. In addition, the possible endoscopic percutaneous management of such was evaluated. Signs cholestasis appeared 32 (30.5%) transplant recipients after a mean 6.5 months (range 1-19 months), visualization biliary system performed all. Twenty observed these (62.5%). There multiple strictures, both intrahepatic extrahepatic, 11 grafts. Five nine extrahepatic strictures not confined site bile duct anastomosis, involved whole common donor liver, while remaining four confined. The related either occlusion hepatic artery or fact that graft been cold ischemic state for prolonged time. contrast, necrosis attributed local ischemia due harvesting procedure. Stenoses strictly anastomosis thought be surgical technique. Ten stenoses with considerably impaired flow corrected endoscopically (four), percutaneously (three) by surgery (three). system, retransplantation necessary. our occurred up 19% on long-term follow-up. Complications only can treated successfully, whereas involving frequently require retransplantation.