title: [Biliary complications after liver transplant].
abstract: There have been biliary complications since the beginning of liver transplants, and is a topic of great interest due to its high incidence, as well as their influence on morbidity and mortality. The biliary fistula is currently uncommon and its management is straightforward. Anastomotic stenosis continues to have an incidence of 10-15%. Although the current treatment of choice is endoscopic retrograde cholangiopancreatography (ERCP), surgical treatment (hepatico-jejunostomy) continues to have an important role. Non-anastomotic stenosis has an incidence of 5-10%, and is associated with ischaemic or immunological factors, and usually involves a re-transplant. Choledocholithiasis has an incidence of 5-10%, with the treatment of choice being ERCP. However the treatment of biliary complications should be individualised. We must take into account, liver function, the general health status of the patient, and the availability and experience of the team in the different therapeutic options.
authors.affiliation: Departamento de Cirugía, Unidad de Trasplante Hepático, Hospital Universitario de Bellvitge, Barcelona, España. 31513llg@comb.cat
authors.forename: Laura
authors.initials: L
authors.lastname: Lladó
authors.forename: Joan
authors.initials: J
authors.lastname: Fabregat
authors.forename: Emilio
authors.initials: E
authors.lastname: Ramos
authors.forename: Carme
authors.initials: C
authors.lastname: Baliellas
authors.forename: Jaume
authors.initials: J
authors.lastname: Torras
authors.forename: Antoni
authors.initials: A
authors.lastname: Rafecas
mesh_terms: D000465:Algorithms; D001649:Bile Duct Diseases / Q000209:etiology* / Q000628:therapy; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*