Revista Colombiana de Gastroenterologia
Print version ISSN 0120-9957
MUNOZ MAYA, Octavio Germán et al. Biliary duct complications after orthotopic liver transplants: experience from the Pablo Tobon Uribe Hospital - Medellín. Rev Col Gastroenterol [online]. 2011, vol.26, n.1, pp. 9-14. ISSN 0120-9957.
Introduction: Biliary duct complications following an orthotopic liver transplant (OLT) are some of the most important problems since they can cause graft dysfunction and death. Objective: Evaluate the incidence level of biliary complications following OLTs in our institution. Methodology: The clinical charts of 254 patients who had had OLTs with deceased liver donors were retrospectively evaluated to identify those who developed biliary complications. Results: 25 patients with biliary complications, or a frequency of 9.84%, were documented. 21 cases (84%) had biliary strictures. Of these 16 (64%) had anastomotic strictures and 5 (20%) had non-anastomotic strictures. There were 7 cases (28%) of biliary leakage. Other complications were less frequent. The survival rate is 88% with mean follow up time of 37.8 months. Conclusion: Post OLT biliary complications are still frequent; however, the development of endoscopic and percutaneous interventions has improved the general prognosis of these patients.
Keywords : Biliary duct complications; biliary stricture; biliary leakage; orthotopic liver transplant.