Open AccessManagement of biliary complications after orthotopic liver transplantation: The role of endoscopy
Author(s) -
María Carlota Londoño,
Domingo Balderramo,
Andrés Cárdenas
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.493
Subject(s) - medicine , liver transplantation , anastomosis , sphincter of oddi dysfunction , endoscopy , bile duct , orthotopic liver transplantation , gastroenterology , sphincter of oddi , common bile duct , surgery , complication , general surgery , transplantation
Biliary complications are significant causes of morbidity and mortality after orthotopic liver transplantation (OLT). The estimated incidence of biliary complications after OLT ranges between 10%-25%, however, these numbers continue to decline due to improvement in surgical techniques. The most common biliary complications are strictures (both anastomotic and non-anastomotic) and bile leaks. Most of these problems can be appropriately managed with endoscopic retrograde colangiography (ERC). Other complications such as bile duct stones, bile casts, sphincter of Oddi dysfunction, and hemobilia, are less frequent and also can be managed with ERC. This article will review the risk factors, diagnosis, and endoscopic management of the most common biliary complications after OLT.