Endoscopic retrograde cholangiography for biliary anastomotic strictures after liver transplantation

Biliary complications after liver transplantation (LT) are an important cause of morbidity and mortality. In most cases, an anastomosis of the bile duct is performed as a duct-to-duct reconstruction, which makes endoscopic therapy with endoscopic retrograde cholangiography (ERC) feasible. Biliary an...

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Bibliographic Details
Published inClinics in liver disease Vol. 18; no. 4; p. 913
Main Authors Fernández-Simon, Alejandro, Díaz-Gonzalez, Alvaro, Thuluvath, Paul J, Cárdenas, Andrés
Format Journal Article
LanguageEnglish
Published United States 01.11.2014
Subjects
Bile Ducts - pathology
Bile Ducts - surgery
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholangiopancreatography, Endoscopic Retrograde - standards
Constriction, Pathologic
Humans
Liver Transplantation - adverse effects
Postoperative Complications - pathology
Postoperative Complications - surgery
Stents
Treatment Outcome
Self-expanding metal stents
Biliary stents
ERCP
Biliary dilatation
Anastomotic biliary stricture
Liver transplantation
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Summary:Biliary complications after liver transplantation (LT) are an important cause of morbidity and mortality. In most cases, an anastomosis of the bile duct is performed as a duct-to-duct reconstruction, which makes endoscopic therapy with endoscopic retrograde cholangiography (ERC) feasible. Biliary anastomotic strictures (AS) are the most common cause of biliary complications. The early detection of an AS, which can sometimes be challenging given that its clinical presentation is often subtle, is of key importance to obtain high treatment success. In this review, we focus on the management of AS after LT with a special emphasis on ERC.
ISSN:1557-8224
DOI:10.1016/j.cld.2014.07.009