Post‐transplant biliary complications: An analysis from a predominantly living donor liver transplant center

Abstract

Biliary complications are common after LDLT. Most leaks will subsequently form strictures. Endoscopic retrograde cholangiopancreatography is the first-line treatment for biliary complications, with surgery required in a minority of cases. The incidence of biliary complications is higher in multiple duct anastomoses. Biliary complications are not associated with increased mortality.

Early Acute Severe HCV Recurrence After Transplantation: From Universal Mortality to Cure

“…[1][2][3] Recurrence of hepatitis C is universal in patients who have circulating virus at the time of transplant. 4 A proportion of patients (2-14%) who undergo liver or kidney transplant develop early severe recurrence (classically defined as within 6 months of transplant).…”

Management issues in post living donor liver transplant biliary strictures

“…Wadhawan et al [14] 2013 India 65 28 8.8% 10.3% Mizuno et al [13] 2014 Japan 108 58.4 5.6% 13.9% Vij et al [15] 2015 India 127 9.32 0.7% 0%…”

“…Japan 182 21 11.5% 25.3% Shah et al [9] 2007 Canada 128 23 14.8% 17.1% Mita et al [10] 2008 Japan 231 9.5% Marubashi et al [11] 2009 Japan 83 32.4 1.2% 7.2% Kim et al [12] 2010…”

“…Overview of the possible contributory factors and role of each has been listed in Table 2 [12, [14][15][16][17][18][19][20][21][22] . In LDLT the anastomosis is made between right anterior and posterior ducts of the donor with the common hepatic duct of the recipient.…”

“…The incidence is higher after LDLT compared to deceased donor liver transplant (DDLT) [3] . Over last 3 decades the reported incidence of bile leaks as well strictures is decreasing (Table 1) [4][5][6][7][8][9][10][11][12][13][14][15] . This can be ascribed to better understanding of the technical causes leading to biliary complications.…”