Biliary complications in one hundred adult liver transplantations.

Abstract:

BACKGROUND:Biliary complications are a common problem in liver transplantation (LT). METHODS:We reviewed 100 consecutive adult LTs, including 10 retransplantations. Ten patients who survived for less than 1 month or developed hepatic artery thrombosis were excluded. Biliobiliary anastomosis was performed with a T-tube (CCT) (n = 25) or without it (CC) (n = 59), or biliodigestive anastomosis (Rouxen-Y) (n = 6) was used. RESULTS:Biliary complications (8 anastomotic strictures and 9 bile leakages) occurred in 15 LTs. Surgical treatment was needed for seven strictures and two leakages. Complications tended to be more frequent with CCT than with CC (24% versus 12%). Biliary complications were often accompanied by cytomegalovirus disease and bacterial infections. After a median follow-up time of 5.2 years, total patient survival was 71% for all 100 LTs and 81% for those with biliary complications. CONCLUSIONS:Biliary complications are rather frequent after LTs; they are often preceded by infections but can be treated and do not cause excessive mortality. T-tubes are not to be recommended.

journal_name

Scand J Gastroenterol

authors

Koivusalo A,Isoniemi H,Salmela K,Edgren J,von Numers H,Höckerstedt K

doi

10.3109/00365529609006773

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

506-11

issue

5

eissn

0036-5521

issn

1502-7708

journal_volume

31

pub_type

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