Endoscopic retrograde cholangiopancreatography in the orthotopic liver transplant patient

Endoscopy
M F CatalanoM V Sivak

Abstract

Diagnostic imaging of the biliary tract is often required in liver transplant recipients, preoperatively to assess extent of biliary tract disease and postoperatively in patients with a suspected biliary complication due to an abnormal postoperative course. Over a six-year period, 115 patients received 127 liver transplantations at our institution. Twenty-three preoperative ERCPs were performed in 17 patients, while 25 ERCPs were performed on 15 patients after liver transplantation. Preoperative ERCP in seven of 17 patients revealed a dominant biliary stricture as a result of primary sclerosing cholangitis (PSC); five of these patients were managed successfully with the placement of biliary endoprosthesis. An additional nine patients with PSC underwent brush cytology of the extrahepatic bile ducts to rule out coexisting cholangiocarcinoma; there were no positive results, although three were found to have coexisting cholangiocarcinoma after examination of the explanted liver. Postoperatively, nine of 15 patients were found to have biliary tract disease. These included five biliary strictures (three treated successfully by endoscopic dilation and stent therapy), two biliary leaks (treated by biliary endoprosthesis), one biloma (t...Continue Reading

Citations

May 16, 2002·Transplantation Proceedings·A FleckR R Santos
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Oct 31, 2003·Current Treatment Options in Gastroenterology·Deepak V. GopalMichael R. Lucey
Jun 1, 1996·Digestive Diseases and Sciences·C F GholsonJ C McDonald
Feb 17, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Ivo W GraziadeiWolfgang Vogel
Jan 29, 2000·Gastrointestinal Endoscopy·D A SchwartzC J Gostout
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Jul 6, 2004·The American Journal of Gastroenterology·Janak N ShahGregory G Ginsberg
May 12, 2018·The American Journal of Gastroenterology·David M Chascsa, Hugo E Vargas
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