Do biliary endoprostheses decrease biliary complications after liver transplantation?

Abstract:

AIM:Most technical complications after orthotopic liver transplantation (OLT) are related to the biliary tree. This report reviews the role of routine intraoperative placement of stents to reduce biliary complications. METHODS:We retrospectively analyzed 396 consecutive OLTs. We reviewed rates of biliary complications after hepaticojejunostomy (HJA) as well as following choledochocholedochostomy (CCA) groups: "experimental" group (routine intraoperative biliary stenting, last 10 months), "recent" control group (nonstented, previous 10 months), "historical" control group (prior to that period of time). RESULTS:All groups were matched for donor/recipient characteristics and for graft cold/warm ischemia time. The overall prevalence of biliary complications was 30.7% after CCA versus 35% after HJA. In the experimental group 21 patients had a 4.8% biliary complication rate compared to the recent control and historical groups, where biliary complication rates were 30% and 32.6%, respectively (P <.05). CONCLUSIONS:The intraoperative use of biliary stents is feasible and appears to decrease the rate of biliary complications. These results support the need for a prospective randomized trial.

journal_name

Transplant Proc

authors

Barkun JS,Tzimas GN,Cantarovich M,Metrakos PP,Deschênes M,Alpert E,Paraskevas S,Tchervenkov JI

doi

10.1016/j.transproceed.2003.08.017

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

2435-7

issue

7

eissn

0041-1345

issn

1873-2623

pii

S0041134503008819

journal_volume

35

pub_type

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