Organ Transplantation 2022;13(5):569-

doi:10.3969/j.issn.1674-7445.2022.05.004

Diagnosis and treatment of common biliary complications after orthotopic liver transplantation in adults

Xinwen HU 1 ; Ting LI

Affiliations

+expand

Keywords

Orthotopic liver transplantation; Biliary complication; Biliary stricture; Bile leakage; Endoscopic retrograde cholangiopancreatography (ERCP); Percutaneous transhepatic cholangiography (PTC); Magnetic resonance cholangiopancreatography (MRCP); Fully covered self-expandable metal support

Country

China

Language

Chinese

Abstract

Liver transplantation has become an effective treatment for end-stage liver diseases. With rapid development of surgical techniques, donor selection, organ preservation and transportation, immunosuppressants and perioperative management, the overall incidence of complications after liver transplantation has been significantly decreased, whereas the incidence of biliary complications remains relatively high. At present, biliary complications after liver transplantation are still an important cause of graft failure. Nevertheless, the pathogenesis, diagnosis and treatment of biliary complications remain controversial, which are also research hotspots in the field of organ transplantation in recent years. In this article, new breakthrough and research progress upon biliary complications after orthotopic liver transplantation in adults were reviewed, aiming to provide theoretical basis for resolving biliary complications-related clinical issues.