Endoscopic management of biliary complications after liver transplantation

Objective: To retrospectively evaluate endoscopic treatmentoutcomes of biliary complications in post-liver transplants.Methods: The sample consisted of post-liver transplantationpatients referred to the Endoscopy Unit of Hospital Israelita AlbertEinstein, from July 2005 to July 2008, for endoscopic...

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Main Authors: Fernanda Prata Martins, Jean Rodrigo Tafarel, Angelo Paulo Ferrari
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2008-12-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://apps.einstein.br/revista/arquivos/PDF/1009-Einstein%20v6n4%20422-427.pdf
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author Fernanda Prata Martins
Jean Rodrigo Tafarel
Angelo Paulo Ferrari
author_facet Fernanda Prata Martins
Jean Rodrigo Tafarel
Angelo Paulo Ferrari
author_sort Fernanda Prata Martins
collection DOAJ
description Objective: To retrospectively evaluate endoscopic treatmentoutcomes of biliary complications in post-liver transplants.Methods: The sample consisted of post-liver transplantationpatients referred to the Endoscopy Unit of Hospital Israelita AlbertEinstein, from July 2005 to July 2008, for endoscopic retrogradecholangiopancreatography due to suspected biliary complications.Results: Eighty-two patients were retrospectively assessed (sixwere excluded). From July 2005 to July 2008, 82 patients (57male, mean age of 49.4 years) were reviewed and 276 endoscopicretrograde cholangiopancreatographies were undertaken (3.2/patient). There were 57.3% cadaver and 42.7% living donors in thisgroup. Biliary stricture was diagnosed in 56 patients (91% wereanastomotic) and endoscopic treatment was successful in 56%(7% still in treatment). Biliary leaks were found in 28 patients (50%anastomotic). The endoscopic success rate was 62.9% and 7.1%are still in treatment. Conclusions: Post-liver transplantation biliarycomplications were relatively common and endoscopic treatmenthad a satisfactory outcome.
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spelling doaj.art-986b3043f7054561a28a746239de929f2022-12-21T18:59:17ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082008-12-0164422427Endoscopic management of biliary complications after liver transplantationFernanda Prata MartinsJean Rodrigo TafarelAngelo Paulo FerrariObjective: To retrospectively evaluate endoscopic treatmentoutcomes of biliary complications in post-liver transplants.Methods: The sample consisted of post-liver transplantationpatients referred to the Endoscopy Unit of Hospital Israelita AlbertEinstein, from July 2005 to July 2008, for endoscopic retrogradecholangiopancreatography due to suspected biliary complications.Results: Eighty-two patients were retrospectively assessed (sixwere excluded). From July 2005 to July 2008, 82 patients (57male, mean age of 49.4 years) were reviewed and 276 endoscopicretrograde cholangiopancreatographies were undertaken (3.2/patient). There were 57.3% cadaver and 42.7% living donors in thisgroup. Biliary stricture was diagnosed in 56 patients (91% wereanastomotic) and endoscopic treatment was successful in 56%(7% still in treatment). Biliary leaks were found in 28 patients (50%anastomotic). The endoscopic success rate was 62.9% and 7.1%are still in treatment. Conclusions: Post-liver transplantation biliarycomplications were relatively common and endoscopic treatmenthad a satisfactory outcome.http://apps.einstein.br/revista/arquivos/PDF/1009-Einstein%20v6n4%20422-427.pdfLiver transplantation/adverse effectsPostoperative complicationsBiliary fistula/etiologyBile ducts/pathologyConstrictionpathologicCholangiopancreatographyendoscopic retrograde/methods
spellingShingle Fernanda Prata Martins
Jean Rodrigo Tafarel
Angelo Paulo Ferrari
Endoscopic management of biliary complications after liver transplantation
Einstein (São Paulo)
Liver transplantation/adverse effects
Postoperative complications
Biliary fistula/etiology
Bile ducts/pathology
Constriction
pathologic
Cholangiopancreatography
endoscopic retrograde/methods
title Endoscopic management of biliary complications after liver transplantation
title_full Endoscopic management of biliary complications after liver transplantation
title_fullStr Endoscopic management of biliary complications after liver transplantation
title_full_unstemmed Endoscopic management of biliary complications after liver transplantation
title_short Endoscopic management of biliary complications after liver transplantation
title_sort endoscopic management of biliary complications after liver transplantation
topic Liver transplantation/adverse effects
Postoperative complications
Biliary fistula/etiology
Bile ducts/pathology
Constriction
pathologic
Cholangiopancreatography
endoscopic retrograde/methods
url http://apps.einstein.br/revista/arquivos/PDF/1009-Einstein%20v6n4%20422-427.pdf
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