Journal of Surgery  2016;19(1):10-18

doi:Article Digital Object Identifier

Assessment of biliary complication after liver transplantation in Mongolia

Bat-Ireedui B 1 ; Ganzorig B ; Batsaikhan B ; Erdene S ; Batchuluun P ; Amgalan L ; Sergelen O

Affiliations

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Keywords

BC, biliary complication; DD,duct-to-duct anastomosis; HBS, hepatobiliary scintigraphy; HJ, hepaticojejunostomy; LDLT, living donor liver transplantation;

Country

Mongolia

Language

Mongolian

Abstract

Introduction: A considerable proportionof adult living donor liver transplantation(LDLT) recipients experience biliarycomplication (BC), but there are few reportsregarding BC based on long-term studies ofa large LDLT population.Methods: The present study examinedBC incidence, from 16 adult and pediatricpatients (14 right liver and 2 left liver graft )between 2011 and 2016 First Central Hospitalof Mongolia.Results: The mean follow-up period was36±1 months. First Central Hospital has DDanastmosis (n=22) double DD (n=2) singlehepaticojejunostomy (n=3). There 3 caseshave biliary stricture after operation. One ofthe 3 cases has biliary laek 2 months laterafter the operation.Conclusion: Close surveillance for BCappears necessary for at least the first 3 yrafter LDLT. In terms of anastomotic stenosisrisk, HJ appears a better choice than DD forright liver grafts involving ducts less than 4mm in diameter.