[Prevention, diagnosis and treatment of biliary complications after liver transplantation].
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.
Chen
Gui-hua
GH
Department of Transplantation Surgery, First Affiliated Hospital, Zhongshan University, Guangzhou 510080, China.
Lu
Min-qiang
MQ
He
Xiao-shun
XS
Zhu
Xiao-feng
XF
Wang
Guo-dong
GD
Yang
Yang
Y
Cai
Chang-jie
CJ
Huang
Jie-fu
JF
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