Endoscopic Management of Biliary Complications After Liver Transplantation

Eldeen, Firas Zahr; Lee, Ching‐Song; Lee, Wei‐Chen

doi:10.5772/23525

Therapeutic Gastrointestinal Endoscopy 2011

DOI: 10.5772/23525

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Endoscopic Management of Biliary Complications After Liver Transplantation

Firas Zahr Eldeen¹,

Ching‐Song Lee²,

Wei‐Chen Lee³

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2021

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References 57 publications

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Post-liver transplant biliary complications: Current knowledge and therapeutic advances

Boeva

Karagyozov

Tishkov

2021

WJH

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Liver transplantation is the current standard of care for end-stage liver disease and an accepted therapeutic option for acute liver failure and primary liver tumors. Despite the remarkable advances in the surgical techniques and immunosuppressive therapy, the postoperative morbidity and mortality still remain high and the leading causes are biliary complications, which affect up to one quarter of recipients. The most common biliary complications are anastomotic and non-anastomotic biliary strictures, leaks, bile duct stones, sludge and casts. Despite the absence of a recommended treatment algorithm many options are available, such as surgery, percutaneous techniques and interventional endoscopy. In the last few years, endoscopic techniques have widely replaced the more aggressive percutaneous and surgical approaches. Endoscopic retrograde cholangiography is the preferred technique when duct-to-duct anastomosis has been performed. Recently, new devices and techniques have been developed and this has led to a remarkable increase in the success rate of minimally invasive procedures. Understanding the mechanisms of biliary complications helps in their early recognition which is the prerequisite for successful treatment. Aggressive endoscopic therapy is essential for the reduction of morbidity and mortality in these cases. This article focuses on the common post-transplant biliary complications and the available interventional treatment modalities.

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Post-liver transplant biliary complications: Current knowledge and therapeutic advances

Boeva

Karagyozov

Tishkov

2021

WJH

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Endoscopic Management of Biliary Complications After Liver Transplantation

Cited by 1 publication

References 57 publications

Post-liver transplant biliary complications: Current knowledge and therapeutic advances

Post-liver transplant biliary complications: Current knowledge and therapeutic advances

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