Endoscopic management of postoperative biliary complications in orthotopic liver transplantation

摘要: Background: Surgery, percutaneous cholangiography, and endoscopic retrograde cholangiopancreatography (ERCP) have been used in the management of biliary complications after orthotopic liver transplantation with varied results. We assessed role ERCP diagnosis, treatment, outcome post-orthotopic complications. Methods: retrospectively reviewed records 260 patients who underwent transplantation. examined number referred for indication, therapeutic intervention, success, complication rate post compared survival retransplantation rates a control group not undergoing ERCP. Results: Of transplantation, 64 (24.6%) 137 ERCPs. Two categories indications were identified: bile leak (n = 31) obstruction 39). identified site 27 31 cases (87.1%) was treated by means 26 (83.9%). Treatment success differed significantly based on location (T tube, 95.2% vs. anastomosis, 42.9%; p 0.009). 37 39 (94.9%) relieved 25 35 (71.4%). less successful treatment casts (25.0%, 0.048). There no difference or between did undergo Conclusion: should be primary method diagnosis Endoscopic therapy is safe effective majority temporizes those that may require surgery. (Gastrointest Endosc 2000;52:55-63.)