title: [Prevention, diagnosis and treatment of biliary complications after liver transplantation].
abstract: OBJECTIVE
  To study the prevention, diagnosis and treatment of biliary complications after liver transplantation.
  
  
  METHODS
  One hundred and twenty-three recipients who had received liver transplantation between April 1993 and November 2001 were retrospectively reviewed.
  
  
  RESULTS
  Biliary complication was diagnosed by cholangiography in 11 patients. Nine patients were cured, 1 patient was improved and 1 patient died. The incidence for biliary complications was 8.9% (11/123), and the mortality was 0.8% (1/123). The incidence of biliary complications due to T tube was 4.2% (5/119). The incidence of biliary complications due to hepatic artery was 1.6% (2/123). In recipients with WIT > 3 min and CIT > 8 h, the incidence of biliary complications elevated significantly.
  
  
  CONCLUSIONS
  The most important reason for biliary complications was preservative and ischemic injury. While repairing donor liver, damage to the blood supply system of donor liver bile ducts should be avoided. Meticulous T tube placement may reduce the incidence of biliary complications. Early cholangiography is helpful to diagnose biliary complications.
authors.affiliation: Department of Transplantation Surgery, First Affiliated Hospital, Zhongshan University, Guangzhou 510080, China.
authors.forename: Gui-hua
authors.initials: GH
authors.lastname: Chen
authors.forename: Min-qiang
authors.initials: MQ
authors.lastname: Lu
authors.forename: Xiao-shun
authors.initials: XS
authors.lastname: He
authors.forename: Xiao-feng
authors.initials: XF
authors.lastname: Zhu
authors.forename: Guo-dong
authors.initials: GD
authors.lastname: Wang
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.forename: Chang-jie
authors.initials: CJ
authors.lastname: Cai
authors.forename: Jie-fu
authors.initials: JF
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001660:Biliary Tract Diseases / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D016031:Liver Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control* / Q000628:therapy