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Article: Endoscopic retrograde cholangiography in the diagnosis and endoscopic management of biliary complications after liver transplantation

TitleEndoscopic retrograde cholangiography in the diagnosis and endoscopic management of biliary complications after liver transplantation
Authors
Issue Date1996
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.eurojgh.com
Citation
European Journal of Gastroenterology and Hepatology, 1996, v. 8 n. 10, p. 1003-1006 How to Cite?
AbstractObjective: Biliary reconstruction in orthotopic liver transplantation is increasingly being performed without T tube drainage. This increases the difficulty of diagnosing subsequent biliary tract problems, with a greater reliance placed on endoscopic retrograde cholangiopancreatography (ERCP) for the diagnosis of biliary tract complications. The usefulness of ERCP was evaluated in patients who underwent liver transplant where biliary reconstruction was not done with T tube drainage. Design and participants: A retrospective study of the case notes of 90 patients who underwent liver transplantation, and in whom the biliary reconstruction was by end to end choledochocholedochostomy without T tube splintage. Results: ERCP was performed as the primary procedure to investigate a suspected biliary complication in 30 patients (33%). The procedure was successful in 26 patients (87%), and showed a biliary stricture in 12 patients and a bile leak in six patients. ERCP was normal in seven patients and demonstrated dilated ducts alone in one patient. Six of the biliary strictures were successfully dilated endoscopically (50%), but none of the bile leaks resolved with endoscopic drainage. Conclusion: This study confirms the diagnostic role of ERCP post liver transplant. The therapeutic role requires clearer evaluation with a controlled trial.
Persistent Identifierhttp://hdl.handle.net/10722/92982
ISSN
2015 Impact Factor: 2.093
2015 SCImago Journal Rankings: 0.867
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMacfarlane, Ben_HK
dc.contributor.authorDavidson, Ben_HK
dc.contributor.authorDooley, JSen_HK
dc.contributor.authorDawson, Ken_HK
dc.contributor.authorOsborne, MJen_HK
dc.contributor.authorRolles, Ken_HK
dc.contributor.authorBurroughs, AKen_HK
dc.date.accessioned2010-09-22T05:05:53Z-
dc.date.available2010-09-22T05:05:53Z-
dc.date.issued1996en_HK
dc.identifier.citationEuropean Journal of Gastroenterology and Hepatology, 1996, v. 8 n. 10, p. 1003-1006en_HK
dc.identifier.issn0954-691Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/92982-
dc.description.abstractObjective: Biliary reconstruction in orthotopic liver transplantation is increasingly being performed without T tube drainage. This increases the difficulty of diagnosing subsequent biliary tract problems, with a greater reliance placed on endoscopic retrograde cholangiopancreatography (ERCP) for the diagnosis of biliary tract complications. The usefulness of ERCP was evaluated in patients who underwent liver transplant where biliary reconstruction was not done with T tube drainage. Design and participants: A retrospective study of the case notes of 90 patients who underwent liver transplantation, and in whom the biliary reconstruction was by end to end choledochocholedochostomy without T tube splintage. Results: ERCP was performed as the primary procedure to investigate a suspected biliary complication in 30 patients (33%). The procedure was successful in 26 patients (87%), and showed a biliary stricture in 12 patients and a bile leak in six patients. ERCP was normal in seven patients and demonstrated dilated ducts alone in one patient. Six of the biliary strictures were successfully dilated endoscopically (50%), but none of the bile leaks resolved with endoscopic drainage. Conclusion: This study confirms the diagnostic role of ERCP post liver transplant. The therapeutic role requires clearer evaluation with a controlled trial.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.eurojgh.comen_HK
dc.relation.ispartofEuropean Journal of Gastroenterology and Hepatologyen_HK
dc.titleEndoscopic retrograde cholangiography in the diagnosis and endoscopic management of biliary complications after liver transplantationen_HK
dc.typeArticleen_HK
dc.identifier.emailMacfarlane, BJ:bmac@hku.hken_HK
dc.identifier.authorityMacfarlane, BJ=rp01422en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid8930567-
dc.identifier.scopuseid_2-s2.0-0029908401en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0029908401&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume8en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1003en_HK
dc.identifier.epage1006en_HK
dc.identifier.isiWOS:A1996VP47100013-

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