Endoscopic retrograde cholangiopancreatography in the management of biliary complications after orthotopic liver transplantation

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Role of endoscopic retrograde cholangiopancreatography after orthotopic liver transplantation.

We reviewed the records of 20 liver transplant patients who underwent 28 procedures [endoscopic retrograde cholangiopancreatography (ERCP)] to rule out biliary obstruction, treat bile leaks, dilate and/or stent strictures, or remove stones and debris. Three patients (two with abnormal T-tube cholangiograms and one with hyperbilirubinemia) underwent ERCP to rule out obstruction. Therapeutic ERCP...

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Role of endoscopic retrograde cholangiopancreatography after orthotopic liver transplantation

Accepted for publication 25 May 1990 Abstract Twelve of 178 (7%) liver transplant patients underwent endoscopic retrograde cholangiopancreatography(ERCP) aftertransplantation. The indications for ERCP were persistent or late onset cholestasis, recurrent cholangitis, and suspected biliary leaks or strictures. The time between transplantation and ERCP ranged from 44 to 330 days (median 153 days)....

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Clinical yield of diagnostic endoscopic retrograde cholangiopancreatography in orthotopic liver transplant recipients with suspected biliary complications.

Diagnostic endoscopic retrograde cholangiopancreatography (D-ERCP) is commonly performed for the evaluation of biliary complications after orthotopic liver transplantation (OLT). This practice is contrary to the national trend of reserving endoscopic retrograde cholangiopancreatography (ERCP) for therapeutic purposes. Our aim was to evaluate the clinical yield and complications of D-ERCP in OLT...

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Biliary complications after orthotopic liver transplantation.

PURPOSE OF REVIEW The incidence, pathogenesis and management of the most common biliary complications are summarized, with an emphasis on nonanastomotic biliary strictures (NAS) and potential strategies to prevent NAS after liver transplantation. RECENT FINDINGS NAS have variable presentations in time and localization, suggesting various underlying pathogeneses. Early-onset NAS (presentation ...

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Endoscopic Management of Biliary Complications After Liver Transplantation

Biliary reconstruction has been described 35 years ago by Sir Roy Calne as the technical ‘Achilles heel’ of orthotopic liver transplantation (OLT). The name “Achilles' heel” comes from Greek mythology, which is a metaphor of a single vulnerable spot. This is because the potential detrimental effects of biliary complications on graft and patient survival. Biliary complications, which “plagued” t...

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ژورنال

عنوان ژورنال: Revista Española de Enfermedades Digestivas

سال: 2019

ISSN: 1130-0108

DOI: 10.17235/reed.2019.6284/2019