title: Endoscopic retrograde cholangiography for biliary anastomotic strictures after liver transplantation.
abstract: Biliary complications after liver transplantation (LT) are an important cause of morbidity and mortality. In most cases, an anastomosis of the bile duct is performed as a duct-to-duct reconstruction, which makes endoscopic therapy with endoscopic retrograde cholangiography (ERC) feasible. Biliary anastomotic strictures (AS) are the most common cause of biliary complications. The early detection of an AS, which can sometimes be challenging given that its clinical presentation is often subtle, is of key importance to obtain high treatment success. In this review, we focus on the management of AS after LT with a special emphasis on ERC.
authors.affiliation: GI/Endoscopy Unit, Institut de Malalties Digestives i Metaboliques, Hospital Clinic, University of Barcelona, Villarroel 170, Esc 3-2, Barcelona 08036, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Fernández-Simon
authors.affiliation: GI/Endoscopy Unit, Institut de Malalties Digestives i Metaboliques, Hospital Clinic, University of Barcelona, Villarroel 170, Esc 3-2, Barcelona 08036, Spain.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Díaz-Gonzalez
authors.affiliation: Medical Director, Institute for Digestive Health & Liver Disease, Mercy Medical Center, 301 Street, Paul Place, Baltimore, MD 21202, USA.
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Thuluvath
authors.affiliation: GI/Endoscopy Unit, Institut de Malalties Digestives i Metaboliques, Hospital Clinic, University of Barcelona, Villarroel 170, Esc 3-2, Barcelona 08036, Spain. Electronic address: acardena@clinic.ub.es.
authors.forename: Andrés
authors.initials: A
authors.lastname: Cárdenas
mesh_terms: D001652:Bile Ducts / Q000473:pathology* / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods* / Q000592:standards; D003251:Constriction, Pathologic; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome
keywords: Anastomotic biliary stricture; Biliary dilatation; Biliary stents; ERCP; Liver transplantation; Self-expanding metal stents