[Management of biliary complications after orthotopic liver transplantation].
In this retrospective analysis we report our results after liver transplantation regarding biliary complications (bc) and the effectiveness of endoscopic therapy. In the last 4 1/2 years we found 13 biliary leaks (7 in combination with a stenosis, 3 at the T tube insertion site), 9 biliary stenosis, 3 papillary stenosis, 2 biliary aggregates and one case of ischemic type biliary lesion, resulting in an overall complication rate of 30%. 10 (36%) "bc" could be treated successfully endoscopically, whereas 8 (32%) patients are still under observation with an endoprosthesis in the biliary tract. 10 endoscopic trials were without the desired effect, requiring a surgical reintervention. In 4 cases a thrombosis of the hepatic artery was responsible for the unwanted course.
Tübergen
D
D
Klinik und Poliklinik für Allgemeine Chirurgie, Universitätsklinikum Münster, Waldeyer Strasse 1, 48149 Münster.
Kramer
K
K
Konturek
J
J
Dietl
K H
KH
Senninger
N
N
D000293:Adolescent; D000328:Adult; D000368:Aged; D001658:Biliary Fistula / Q000628:therapy*; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D016896:Treatment Outcome