Common bile duct stenosis caused by chronic pancreatitis after liver transplantation for alcoholic cirrhosis.
BACKGROUND
The prevalence of chronic pancreatitis in patients with alcoholic cirrhosis ranges from 7% to 11% and is not considered a contraindication for liver transplantation.


METHODS
Among 59 liver transplant recipients grafted for alcoholic cirrhosis, we report two observations of common bile duct stenosis due to chronic pancreatitis.


RESULTS
In both cases, pretransplant work-up disclosed no clinical or radiological evidence of chronic pancreatitis. The diagnosis of common bile duct stricture was made 6 and 60 months after liver transplantation. One patient was reoperated upon, and his choledochocholedochostomy was converted into a Rouxen-Y choledochojejunostomy. The second patient experienced metastatic laryngeal carcinoma and died before reoperation.


CONCLUSIONS
These observations suggest that common bile duct stricture caused by chronic pancreatitis may occur after liver transplantation for alcoholic cirrhosis, even after a long-standing history of abstinence.
Benoist
S
S
Department of Digestive Surgery, Hôpital Cochin, Paris, France.
Dousset
B
B
Pitre
J
J
Massault
P P
PP
Soubrane
O
O
Calmus
Y
Y
Houssin
D
D
D000328:Adult; D002908:Chronic Disease; D003137:Common Bile Duct Diseases / Q000473:pathology*; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications* / Q000453:epidemiology; D015995:Prevalence; D013695:Temperance; D013997:Time Factors