Biliary complications following liver transplantation

Walid S. Ayoub, Carlos O. Esquivel, Paul Martin

Research output: Contribution to journalReview articlepeer-review

69 Scopus citations

Abstract

The aphorism that reconstruction of the biliary anastomosis is the "Achilles heel" of liver transplantation remains valid as biliary complications following liver transplantation remain a major source of morbidity with an incidence of 5-32%. Biliary complications include biliary strictures, biliary leaks, and stones. Biliary strictures can be divided into anastomotic and non-anastomotic. The management of biliary complications previously relied on surgical intervention. However, advances in endoscopic and radiological interventions have resulted in less-invasive options. The management of biliary complications post-liver transplantation requires a multidisciplinary approach and continues to evolve. Biliary complications also reflect the continued expansion of the donor pool with extended, live, and non-heart beating donors.

Original languageEnglish (US)
Pages (from-to)1540-1546
Number of pages7
JournalDigestive Diseases and Sciences
Volume55
Issue number6
DOIs
StatePublished - Jun 1 2010

Keywords

  • Anastomotic strictures
  • Biliary complications
  • Bilomas
  • Liver transplantation
  • Non-anastomotic strictures
  • Stones

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology

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