Endoscopic management of bile leaks after liver transplantation: An analysis of two high-volume transplant centers

Background Bile leak after liver transplantation (LT) is commonly treated with endoscopic retrograde cholangiopancreatography (ERCP); however, there are limited data regarding the optimal treatment strategy. Objective We aimed to examine the role of ERCP in LT recipients with bile leaks at two large...

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Bibliographic Details
Published in:United European gastroenterology journal 2018-02, Vol.6 (1), p.89-96
Main Authors: Sendino, Oriol, Fernández-Simon, Alejandro, Law, Ryan, Abu Dayyeh, Barham, Leise, Michael, Chavez-Rivera, Karina, Cordova, Henry, Colmenero, Jordi, Crespo, Gonzalo, Rodriguez de Miguel, Cristina, Fondevila, Constantino, Llach, Josep, Navasa, Miquel, Baron, Todd, Cárdenas, Andrés
Format: Article
Language:English
Subjects:
Bile leak
biliary complications
biliary stenting
biliary strictures
endoscopic retrograde cholangiopancreatography
liver transplantation
Original
plastic stents
sphincterotomy
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Summary:Background Bile leak after liver transplantation (LT) is commonly treated with endoscopic retrograde cholangiopancreatography (ERCP); however, there are limited data regarding the optimal treatment strategy. Objective We aimed to examine the role of ERCP in LT recipients with bile leaks at two large institutions. Methods We reviewed all ERCPs performed in LT recipients with bile leak and duct-to-duct biliary anastomosis at two high-volume transplant centers. Results Eighty patients were included. Forty-seven (59%) patients underwent ERCP with plastic stent placement (with or without sphincterotomy) and 33 patients (41%) underwent sphincterotomy alone. Complete resolution was obtained in 94% of the stent group vs. 58% of the sphincterotomy group (p 
ISSN:2050-6406
2050-6414
DOI:10.1177/2050640617712869