The management of T tube leaks in orthotopic liver transplant recipients with endoscopically placed nasobiliary catheters.

Abstract:

:Biliary tract problems remain an important cause of complication following orthotopic hepatic transplantation. We describe 12 liver transplantation patients who developed bile peritonitis secondary to a biliary leak after T tube removal. Each of these patients underwent an urgent ERCP that exhibited leakage outside the T tube tract and nondilated intrahepatic ducts. At the time of the ERCP, a nasobiliary catheter was inserted to divert the bile flow. All of these patients resolved their symptoms and closed their leak. We advocate endoscopic placement of a nasobiliary catheter as first-line therapy for significant T tube tract leaks after liver transplantation.

journal_name

Transplantation

journal_title

Transplantation

authors

Ostroff JW,Roberts JP,Gordon RL,Ring EJ,Ascher NL

doi

10.1097/00007890-199005000-00018

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

922-4

issue

5

eissn

0041-1337

issn

1534-6080

journal_volume

49

pub_type

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